Inability to leave one's home because of avoidance of severe anxiety suggests the existence of which anxiety disorder?

Posttraumatic stress response

Panic attacks with agoraphobia

Generalized anxiety disorder

Obsessive-compulsive disorder

Answer and Explanation

The Correct Answer is B

A. Posttraumatic stress response involves reliving traumatic events, flashbacks, and hyperarousal, not specifically avoidance due to anxiety about leaving the home.

B. Agoraphobia is characterized by a fear of situations where escape might be difficult or help unavailable, leading to avoidance behavior such as being unable to leave home. It often co-occurs with panic disorder.

C. Generalized anxiety disorder involves excessive worry about multiple areas of life but not specific avoidance behaviors like agoraphobia.

D. Obsessive-compulsive disorder involves intrusive thoughts (obsessions) and repetitive behaviors (compulsions), but not the avoidance behavior characteristic of agoraphobia.

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Correct Answer is D

Explanation

A. Seclusion should be avoided unless absolutely necessary for safety, as it may increase agitation in a manic client.

B. A stimulating environment could worsen mania, leading to increased agitation and impulsivity.

C. While maintaining a regular sleep-wake cycle is important, discouraging naps could increase irritability and fatigue, which may worsen manic symptoms.

D. Consistent routines help provide structure and security for clients in the manic phase, reducing confusion and promoting stability.

A. The client reports that voices are telling him to write a novel. B. The client is dressed in all black C. The client responds to questions with disorganized speech. D. The client's spouse reports that client has recently gained weight.

Correct Answer is C

Explanation

A. Hearing voices could indicate psychosis, which is not specifically linked to acute mania in bipolar disorder. Mania may involve delusions or grandiosity but not auditory hallucinations.

B. Dressing in all black is not specific to acute mania and could be related to personal style or another mood state.

C. Disorganized speech is a hallmark symptom of acute mania in bipolar disorder. The individual may exhibit flight of ideas, rapid speech, or incoherent thoughts.

D. Weight gain is more commonly associated with depression or medication side effects, not acute mania.

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Inability to leave one's home because of avoidance of severe anxiety suggests the existence of which anxiety disorder?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who is in the manic phase of bipolar disorder. Which of the following interventions should the nurse include in the client's plan of care?

Correct Answer is D

Explanation

A nurse in an acute mental health unit is admitting a client who has bipolar disorder. Which of the following findings supports the admitting diagnosis of acute mania?

Correct Answer is C

Explanation

A nurse at a walk-in mental health clinic is assessing a client experiencing severe anxiety. The nurse should recognize the client might exhibit which of the following manifestations?

A patient with a history of bipolar I disorder is prescribed fluoxetine (Prozac) for a depressive episode. What is the nurse's priority action?

A nurse on the psychiatric unit is assessing a client who has moderate anxiety disorder. Which of the following findings should the nurse expect?

A nurse in the emergency department is caring for a client who reports chest pain, headache, and shortness of breath. He continues to state, "I don't know why my wife left me." The client receives a diagnosis of anxiety. The nurse realizes the client's findings support which level of anxiety?

A nurse in a hospital is caring for a client who has agoraphobia. Which of the following statements by the client indicates understanding of the goals of treatment?

A nurse is caring for a client who has bipolar disorder and is experiencing acute mania. The client is doing calisthenics in the client dining room during lunchtime instead of eating. Which of the following statements should the nurse make?

A patient diagnosed with bipolar disorder is prescribed lamotrigine. The nurse should instruct the patient to immediately report which adverse effect?