Nursing care Of Clients With Anxiety And Depression Quiz

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  • 1/25 Questions

    A nurse answering a hotline at a rape crisis center should instruct a victim to bathe and shower before going to the Emergency department of the local hospital.

    • True
    • False
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About This Quiz

This quiz focuses on the nursing care principles essential for supporting clients experiencing anxiety and depression. It covers assessment techniques, therapeutic communication, and intervention strategies aimed at managing symptoms and promoting mental well-being. Topics include recognizing behavioral and physical signs, understanding medication effects, and fostering a supportive environment.

Designed for nursing professionals, the quiz reinforces knowledge of how to provide compassionate, patient-centered care tailored to individuals facing these common mental health challenges. Test your ability to identify needs and implement effective care plans that improve outcomes and quality of life for clients with anxiety and depression.

Nursing care Of Clients With Anxiety And Depression Quiz - Quiz

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  • 2. 

    A client with a specific phobia like claustrophobia typically uses avoidance as a coping mechanism to deal with fear.

    • True

    • False

    Correct Answer
    A. True
    Explanation
    Individuals with specific phobias, such as claustrophobia, often resort to avoidance as a coping mechanism to manage their fear. Avoidance involves staying away from situations or objects that trigger anxiety or distress. In the case of claustrophobia, individuals may avoid enclosed spaces, such as elevators or small rooms, to prevent feeling trapped or panicked. This behavior allows them to temporarily alleviate their fear and maintain a sense of control. Therefore, the statement is true.

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  • 3. 

    If a client admits that domestic violence and abuse are occurring, the most beneficial nursing intervention would be to identify resources for shelter and safety of the victim.

    • True

    • False

    Correct Answer
    A. True
    Explanation
    The most beneficial nursing intervention in the case of a client admitting to domestic violence and abuse is to identify resources for shelter and safety of the victim. This is because the priority in such situations is to ensure the safety and well-being of the victim. By providing information about resources for shelter, the nurse can help the victim find a safe place to go and escape the abusive situation. This intervention can potentially save the victim from further harm and provide them with the support they need to address the abuse.

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  • 4. 

    A depressed client who is scheduled for a series of ECT treatments is most likely to experience headache and short-term memory loss in the immediate post-procedure period.

    • True

    • False

    Correct Answer
    A. True
    Explanation
    A depressed client who undergoes a series of electroconvulsive therapy (ECT) treatments is likely to experience headache and short-term memory loss immediately after the procedure. ECT involves passing electrical currents through the brain to induce controlled seizures, which can cause side effects such as headache due to the stimulation of brain tissue. Additionally, the procedure can affect memory temporarily, leading to short-term memory loss.

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  • 5. 

                 A nurse is caring for an elderly client whose husband died approximately 6 weeks ago. The client says, "There’s no one left to care about me. Everyone that I have loved is now gone." The nurse would make which appropriate response?

    • “I don't believe that, and I really don’t think you do either.”

    • “I’m sure you have someone if you think hard enough.”

    • “It sounds as though you are feeling all alone right now.”

    • “That doesn’t sound like the real you talking!”

    Correct Answer
    A. “It sounds as though you are feeling all alone right now.”
    Explanation
    The client is experiencing loss due to the recent death of her husband and is expressing feelings of hopelessness. The best therapeutic response by the nurse (3) is one that attempts to translate words into feelings.

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  • 6. 

    Frequent panic attacks should be treated as soon as possible to decrease likelihood that the client may fear venturing from home and become reclusive.

    • True

    • False

    Correct Answer
    A. True
    Explanation
    Frequent panic attacks can significantly impact a person's daily life and mental well-being. If left untreated, these panic attacks can lead to the development of agoraphobia, which is a fear of leaving one's home or safe environment. By treating panic attacks as soon as possible, the likelihood of the client developing such fears and becoming reclusive is decreased. Therefore, it is important to address and manage panic attacks promptly to prevent further negative consequences.

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  • 7. 

    A client is unwilling to go out of the house for fear of "doing something crazy in public." Because of this, the client remains homebound, except when accompanied outside by a trusted adult. The nurse determines that the client has:

    • Agoraphobia

    • Hematophobia

    • Claustrophobia

    • Hypochondriasis

    Correct Answer
    A. Agoraphobia
    Explanation
    Agoraphobia is the fear of being alone in open or public places where escape might be difficult. The phobia includes a sense of fear, helplessness, or embarrassment if a phobic attack occurs. Avoidance of such situations usually results in reduced social interaction. Two other conditions are phobias concerned with the fear of blood and close-in places. Hypochondriasis is a condition where the client is preoccupied with their health.

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  • 8. 

    A nurse working in an urgent care center is interviewing a woman with vague somatic complaints. When the nurse is alone with the client, the client states that she was raped a few weeks ago but still feels “as if it just happened to me.” The nurse should make which therapeutic response to the client?

    • "It is very, very hard to get over these types of feelings after being raped."

    • "It’s hard, but try to keep a sense of perspective. After all, it’s been a while since the rape occurred.”

    • "What do you think you should do to reduce the likelihood that you will be raped again?"

    • "Tell me more about what happened, which causes you to feel like the rape just occurred."

    Correct Answer
    A. "Tell me more about what happened, which causes you to feel like the rape just occurred."
    Explanation
    The correct option (4) explores the client’s thoughts and feelings directly. Using a nonjudgmental and supportive attitude, the nurse reassures the client that her feelings are normal and may be expressed in this safe care environment. Option 1 places the client’s feelings on hold, and option 2 blocks further communication. Option 3 is likely to increase the client’s fear.

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  • 9. 

    A nurse enters the room of a middle-aged executive who is on the telephone arguing with his business partner. He abruptly hangs up the phone and becomes angry with the nurse. This client is using which coping mechanism?

    • Diffusion

    • Displacement

    • Denial

    • Decompensation

    Correct Answer
    A. Displacement
    Explanation
    Displacement is the transfer of feelings or reactions from one object to another, usually, one that is safer, such as a person who is angry with a spouse but yells at the dog instead of dealing with the anger. Diffusion and decompensation are not recognized as coping mechanisms. Denial is the refusal to acknowledge the reality of threatening situations despite factual evidence.

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  • 10. 

    A client has been brought to the emergency department after attempting to commit suicide by hanging. The nurse should take which nursing action first?

    • Examine the neck area and assess the airway

    • Encourage the client to talk about the experience

    • Administer an anxiolytic medication as prescribed at once.

    • Obtain a detailed history of events leading to the attempt

    Correct Answer
    A. Examine the neck area and assess the airway
    Explanation
    Following Malow's hierarchy of needs, the nurse should first assess the airway and prepare to treat injuries to the neck area. Failure to do so could be life threatening. Other interventions may follow after the client has received medical intervention for physical injuries.

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  • 11. 

    A client in a manic state emerges from her room. She is topless and is making sexual remarks and gestures toward staff and peers. The appropriate nursing action is to:    

    • Approach the client in the hallway and insist that she go into the room

    • Confront the client on the inappropriateness of her behavior and offer her a time out.

    • Quietly approach the client, escort her to her room and assist her in getting dressed

    • Ask the other clients to ignore her behavior: she will eventually return to her room.

    Correct Answer
    A. Quietly approach the client, escort her to her room and assist her in getting dressed
    Explanation
    The person experiencing mania lacks insight and judgment, has poor impulse control, and is highly excitable. A quiet, firm approach while distracting the client by walking to her room, achieves the goal of preserving her psychological integrity and having her be appropriately dressed. The subject of the question is the client's inappropriate dress, and recognizing this makes option (3) preferable to insisting on different behaviors or confronting the client with an option that may have no meaning for her.

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  • 12. 

    A nurse is having a conversation with a depressed client in an inpatient psychiatric unit. The client says to the nurse, “Things would be so much better for everyone if I just weren’t around.” Which response by the nurse would be appropriate at this time?

    • “Those feelings will go away once your medication really takes effect.”

    • “I know what you mean; everyone gets that way when they are depressed.”

    • “Have you talked to anyone specifically about what is bothering you?”

    • “You sound very unhappy. Are you thinking of harming yourself?”

    Correct Answer
    A. “You sound very unhappy. Are you thinking of harming yourself?”
    Explanation
    Clients who are depressed may be at higher risk for suicide. When clients make statements that suggest extreme despair, the best action for the nurse is to ask the client directly about whether a specific plan for suicide has been formed.

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  • 13. 

    An anxious client reports to the nurse that she feels weak and dizzy. The nurse should respond by:

    • Helping the client relax

    • Giving the client something to drink

    • Giving the client oxygen by nasal cannula

    • Taking the client's vital signs

    Correct Answer
    A. Taking the client's vital signs
    Explanation
    Assessment of the client's statement requires validation that the client's physical condition is stable by taking vital signs. Giving fluids may also be required, but the nursing assessment should precede any intervention. Oxygen therapy requires a physician's order.

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  • 14. 

    A client who attempted suicide by overdosing with a very large number of antidepressant pills has been admitted to the psychiatric unit. The nurse, being most concerned with the client’s safety, would take which immediate action?

    • Have the client put on a hospital gown and remove the client’s clothing from the room.

    • Request that a friend of the client remain with the client at all times.

    • Suggest placing the client in a seclusion room where all potentially dangerous articles are removed.

    • Stay with the client at all times.

    Correct Answer
    A. Stay with the client at all times.
    Explanation
    The plan of care for a client with a suicide attempt must reflect action by the nurse that will promote the client’s safety. Constant observation status (one on one) is the best immediate intervention.

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  • 15. 

    A woman comes into the emergency department in a severe state of anxiety following a car accident. The most important nursing intervention is to:

    • Put the client in a quiet room

    • Remain with the client

    • Teach the client deep breathing

    • Encourage the client to talk about her feelings and concerns.

    Correct Answer
    A. Remain with the client
    Explanation
    If a client is left alone with severe anxiety after a traumatic experience, he or she may feel abandoned and become overwhelmed. Putting the client in a quiet room may be indicated, but the nurse must also stay with the client. It is not possible to teach the client or encourage conversation until the client's anxiety level has decreased. Noting that the client's condition involves "severe" anxiety will direct you to the most important intervention which is to stay with the client.

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  • 16. 

    A nurse collects data on a client with a diagnosis of bipolar affective disorder mania. The finding that requires the nurse's immediate intervention is:

    • The client's outlandish behavior and inappropriate dress

    • The client's grandiose delusions of being a royal descendent of King Arthur

    • The client's constant incessant talking that includes sexual innuendoes and teasing the staff

    • The client's nonstop activity and poor nutritional intake

    Correct Answer
    A. The client's nonstop activity and poor nutritional intake
    Explanation
    Mania is a mood characterized by excitement, euphoria, hyperactivity, excessive energy, decreased need for sleep, and impaired ability to concentrate or complete a single train of thought. The mood may be elevated, expansive, or irritable. Using Maslow's hierarchy of needs, nonstop activity and poor nutritional intake are physiologic needs requiring immediate intervention.

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  • 17. 

    A 52-yr old male is brought by ambulance to the emergency department. His general appearance is unkempt and he smells of urine. He complains of inability to sleep, loss of appetite, and lack of energy. He also expresses a lack of confidence in the ability of the staff to help him with his problems and he refuses to answer questions, asking to be left alone so he can get some sleep. Which interpretation of the client's behavior is most likely?

    • He is unhappy about his family's request for emergency medical care. The nurse should tell the client his family only wants what's best for him.

    • He needs encouragement and the nurse should provide reassurance that the client has been brought to a very good health care facility and that the doctors will soon be able to make him feel better.

    • The client is depressed and at risk for suicide, the nurse should stay with him.

    • The client has the right to refuse medical treatment and the nurse should leave the room.

    Correct Answer
    A. The client is depressed and at risk for suicide, the nurse should stay with him.
    Explanation
    This client's behavior could be interpreted as unhappy or resistant (choices 1, 2, or 4), but in doing so, the nurse is making a value judgment and fails to recognize the symptoms of depression and potential risk for suicide. The nurse should stay with the client until the assessment is complete and potentially life-threatening conditions have been identified and addressed.

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  • 18. 

    A client who was recently paroled as a sex offender is in therapy for pedophilia. The client says, "I’ve served my sentence and I’m still in therapy, so why does this group have posters of me all over the neighborhood? It has my picture on it and tells all about me." Which of the following would be the therapeutic response by the nurse?

    • "Try to realize how fortunate you are that our society doesn't let the group escalate to more punitive measures after your crimes against children."

    • "Are you saying that you understand people are afraid for their children but that you feel you are being unfairly treated?"

    • "It's sad for you, but when children are hurt as you hurt them, people want you identified and isolated"

    • "You seem angry, but you must understand that your neighbors are frightened because of your serious crimes against children."

    Correct Answer
    A. "Are you saying that you understand people are afraid for their children but that you feel you are being unfairly treated?"
    Explanation
    Focusing and verbalizing are therapeutic communication techniques that help relook at what the client is really saying. The correct option (2) is the only one that reflects the use of this therapeutic communication technique.

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  • 19. 

    A nurse is caring for a client with a diagnosis of depression. The nurse monitors for signs of constipation and urinary retention, knowing that these problems are likely caused by:

    • Poor dietary choices

    • Lack of exercise and poor diet

    • Inadequate dietary intake and dehydration

    • Psychomotor retardation and side effects of medication

    Correct Answer
    A. Psychomotor retardation and side effects of medication
    Explanation
    Constipation can be related to inadequate food intake, lack of exercise and dehydration. In this case, urinary retention is most likely due to medication; therefore option (4) is the best response as it addresses side effects of antidepressant medication.

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  • 20. 

    A mother of a teenage daughter with an anxiety disorder is concerned about her daughter's progress on discharge. She states that her daughter "stashes food, eats all the wrong things that make her hyperactive," and "hangs out with the wrong crowd." In helping the mother prepare for her daughter's discharge, the nurse suggests that the mother:    

    • Restrict the daughter's socializing time with her friends

    • Restrict the amount of chocolate and caffeine products in the home

    • Keep her daughter out of school until she can adjust to the school environment

    • Consider taking time from work to help her daughter readjust to being at home

    Correct Answer
    A. Restrict the amount of chocolate and caffeine products in the home
    Explanation
    Clients with anxiety disorder should abstain from or limit their intake of caffeine, chocolate, or alcohol as these products have the potential of increasing anxiety. Options 1, 3, & 4 are similar as they are concerned with monitoring or limiting physical activity. Option (2) best focuses on the concern expressed by the mother than the daughter stashes food and eats things that worsen anxious behavior.

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  • 21. 

    A client is preoccupied with persistent intrusive thoughts and ideas and uses ritualistic behavior to decrease anxiety associated with the unwelcome thoughts.  The most therapeutic treatment options for this client would include:

    • Identifying situations that precipitate compulsive behavior and encourage the client to verbalize his concerns and feelings.

    • Allow the client to perform the ritualistic behavior, but set limits on behaviors that might interfere with the client's physical well-being.

    • Recognize and reinforce positive, nonritualistic behaviors

    • Administer tranquilizers such as diazepam to sedate the client when the client's actions jeopardize the safety of others.

    Correct Answer(s)
    A. Identifying situations that precipitate compulsive behavior and encourage the client to verbalize his concerns and feelings.
    A. Allow the client to perform the ritualistic behavior, but set limits on behaviors that might interfere with the client's physical well-being.
    A. Recognize and reinforce positive, nonritualistic behaviors
    Explanation
    The description of this client's behavior matches Obsessive-Compulsive Disorder (OCD), an anxiety disorder. Anxiety disorders can be effectively treated with behaviorally-based treatments (1,2&3) and antianxiety medication. Although diazepam (Valium) is an antianxiety medication, it's used as a tranquilizer as described above is limited to emergency situations and would not be considered the best treatment option for the general management of OCD.

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  • 22. 

    A nurse reviews the activity schedule for the day and determines that the best activity that the manic client could participate in is:

    • A paint-by-number activity

    • A brown bag lunch and book review

    • Deep breathing and progressive relaxation exercises

    • Ping-pong

    Correct Answer
    A. Ping-pong
    Explanation
    The person experiencing mania is overactive, full of energy, lacks concentration, and has poor impulse control. The client needs an activity that allows the use of excess energy but not endanger others in the process, making ping-pong a good choice for the manic client. The other options require concentration and are passive, which could lead to increased frustration for this client.

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  • 23. 

    The best way for a nurse to determine whether domestic violence abuse is occurring is:

    • Notice unusual behavior patterns, such as a father bringing children in for medical care without the mother being present.

    • Assess all members of the family unit, especially the children, for signs of physical injury.

    • The nurse should ask directly if abuse is occurring

    • The nurse should schedule a follow-up appointment to validate concerns

    Correct Answer
    A. The nurse should ask directly if abuse is occurring
    Explanation
    Making assumptions about behavior patterns is inappropriate. Delaying or avoiding discussion about concerns puts the needs of the provider ahead of the client. The best way to determine if domestic violence and abuse are occurring is to ask directly.

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  • 24. 

    Choose all nursing interventions for a hospitalized client with mania who is exhibiting manipulative behavior (Select all that apply)               

    • Communicate expected behaviors to the client

    • Ensure that the client knows that he or she is not in charge of the nursing unit.

    • Assist the client in developing means of setting limits on personal behaviors.

    • Follow through about the consequences of behavior in a nonpunitive manner.

    • Be clear with the client about the consequences of exceeding limits set regarding behavior.

    Correct Answer(s)
    A. Communicate expected behaviors to the client
    A. Assist the client in developing means of setting limits on personal behaviors.
    A. Follow through about the consequences of behavior in a nonpunitive manner.
    A. Be clear with the client about the consequences of exceeding limits set regarding behavior.
    Explanation
    Interventions for the client with manipulative behavior includes setting clear, consistent, and enforceable limits on manipulative behavior. The client should be made aware of the consequences of exceeding the limits set in a nonpunitive manner. By focusing on the subject of the client's manipulative behavior and recalling that power struggles need to be avoided, you can determine which interventions are correct.

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  • 25. 

    Nursing diagnoses for the client with bipolar disorder include all of the following, except:

    • Disturbed sleep pattern related to inability to sleep and sensitivity to environmental noise

    • Noncompliance with medication and treatment regimen related to health beliefs

    • Imbalanced nutrition: Less than body requirements related to constant activity and increased metabolic demand

    • Risk for Electrolyte Imbalance related to inadequate fluid intake and lithium therapy for bipolar disorder

    • Hopelessness related to feelings of loss of control and need for lifelong treatment with mood stabilizing medications

    • Anxiety related to inability to recall important information

    Correct Answer
    A. Anxiety related to inability to recall important information
    Explanation
    All diagnoses (1 - 5) are acceptable as the client with bipolar disorder may intensely experience both manic and depressive stages of the disorder.

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  • Jun 24, 2025
    Quiz Edited by
    ProProfs Editorial Team
  • Oct 04, 2010
    Quiz Created by
    PNweekend
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