Question 1

Which of the following best describes the primary difference between generalized anxiety disorder (GAD) and panic disorder?

Accepted Answer

GAD involves excessive anxiety and worry for at least 6 months, while panic disorder is marked by sudden attacks of terror not due to substances.

Question 2

A patient presents with muscle tension, headaches, and difficulty sleeping for the past 7 months. Which diagnosis is most likely based on the clinical manifestations?

Accepted Answer

Generalized anxiety disorder (GAD)

Question 3

Which neurotransmitter is most closely associated with the regulation of mood and is often targeted by SSRIs in the treatment of anxiety disorders?

Accepted Answer

Serotonin

Question 4

A nurse is planning care for a client experiencing severe anxiety. Which intervention is most appropriate?

Accepted Answer

Use clear, direct communication and administer medications as ordered

Question 5

Which of the following is a risk factor for developing an anxiety disorder?

Accepted Answer

Childhood adversity (ACES)

Question 6

A client is prescribed a benzodiazepine for anxiety. What is the most important teaching point regarding this medication?

Accepted Answer

Abrupt discontinuation can cause withdrawal symptoms, including seizures

Question 7

Which of the following best describes the pathophysiology of anxiety disorders?

Accepted Answer

They involve a combination of biological, environmental, and neurochemical factors

Question 8

A client with panic disorder experiences sudden attacks of terror. Which of the following must be true for the diagnosis of panic disorder?

Accepted Answer

The attacks are not due to substances or another medical condition

Question 9

Which of the following is a recommended nonpharmacologic therapy for anxiety disorders?

Accepted Answer

Cognitive-behavioral therapy (CBT)

Question 10

A patient with moderate anxiety is having trouble identifying current stressors. Which nursing intervention is most appropriate?

Accepted Answer

Encourage participation in diversional activities and help identify current stressors

Question 11

Which of the following statements about the use of antidepressants in anxiety disorders is correct?

Accepted Answer

They may take several weeks to become effective and should be tapered off gradually

Question 12

Which of the following is NOT a typical clinical manifestation of mild anxiety?

Accepted Answer

Perceptual field greatly reduced

Question 13

A client is experiencing panic-level anxiety. Which of the following symptoms would you expect to observe?

Accepted Answer

Distorted perception and inability to focus

Question 14

Which of the following is a key prevention strategy for individuals at risk for anxiety disorders?

Accepted Answer

Seek help early and keep journals to catalog stressors and sources of relief

Question 15

Which of the following is a correct statement regarding the diagnosis of anxiety disorders?

Accepted Answer

Diagnosis is based on observation and history, with tests to rule out physical illness

Question 16

A client with severe anxiety is unable to follow directions and reports feelings of dread. Which level of anxiety is this, and what is the best initial intervention?

Accepted Answer

Severe anxiety; use clear, direct communication and consider medication

Question 17

Which of the following medications is classified as a selective serotonin reuptake inhibitor (SSRI) used in the treatment of anxiety disorders?

Accepted Answer

Fluoxetine

Question 18

A client is prescribed buspirone for anxiety. Which statement is correct regarding its use?

Accepted Answer

It must be taken every day for at least 2 weeks for desired effect

Question 19

Which of the following is a primary function of the limbic system in the context of anxiety disorders?

Accepted Answer

Processing emotions, motivations, and memories

Question 20

A client with a specific phobia is exposed to the feared object and experiences severe panic. Which category does this phobia fall under?

Accepted Answer

Specific phobia

Anxiety Disorders: Pathophysiology, Clinical Manifestations, and Management

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