Question 1

Which neurotransmitter imbalance is most commonly associated with the development of anxiety disorders?

Accepted Answer

Decreased GABA and increased norepinephrine

Question 2

A patient presents with intense worry about health, finances, and family for over 6 months, despite no identifiable external stressors. Which anxiety disorder is most likely?

Accepted Answer

Generalized anxiety disorder

Question 3

Which brain structure is primarily responsible for the emotional experience of anxiety?

Accepted Answer

Amygdala

Question 4

A nurse is caring for a patient experiencing a panic attack. What is the priority nursing intervention?

Accepted Answer

Reduce environmental stimuli and maintain a calm demeanor

Question 5

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

Accepted Answer

Childhood adversity, such as witnessing traumatic events

Question 6

A 9-year-old child refuses to go to school and reports nightmares about being separated from parents. Which diagnosis is most likely?

Accepted Answer

Separation anxiety disorder

Question 7

Which medication class is considered first-line pharmacologic therapy for most anxiety disorders?

Accepted Answer

Selective serotonin reuptake inhibitors (SSRIs)

Question 8

A patient with severe anxiety is started on benzodiazepines. What is a major concern with long-term use of this medication?

Accepted Answer

Development of tolerance and dependence

Question 9

Which nonpharmacologic therapy has the strongest evidence for reducing symptoms across all types of anxiety disorders?

Accepted Answer

Cognitive-behavioral therapy (CBT)

Question 10

A patient with generalized anxiety disorder is prescribed buspirone. What is an important teaching point for this medication?

Accepted Answer

It must be taken consistently for several weeks to achieve effect

Question 11

Which of the following best describes 'free-floating anxiety'?

Accepted Answer

Excessive worry that is hard to control and not connected to a specific stimulus

Question 12

A patient with panic disorder is afraid to leave home due to fear of having an attack in public. This is an example of:

Accepted Answer

Agoraphobia

Question 13

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

Accepted Answer

Keeping a journal to track stressors and sources of relief

Question 14

A nurse is planning care for a patient with severe anxiety. Which goal is most appropriate?

Accepted Answer

Patient will demonstrate effective implementation of relaxation techniques

Question 15

Which of the following is a common physical manifestation of generalized anxiety disorder?

Accepted Answer

Muscle tension and digestive issues

Question 16

A pregnant woman with a history of anxiety is considering continuing her SSRI medication. What is the most important consideration?

Accepted Answer

Abrupt cessation of SSRIs can be harmful for both mother and baby

Question 17

Which of the following is a key component of the nursing process when caring for a patient with an anxiety disorder?

Accepted Answer

Fostering mental health and supporting coping skills

Question 18

A 15-year-old adolescent is withdrawn, avoids social situations, and refuses to try new activities. What is the most likely explanation?

Accepted Answer

Anxiety disorder, possibly social anxiety disorder

Question 19

Which of the following best describes the role of the locus coeruleus in anxiety?

Accepted Answer

It stimulates arousal and produces anxious behaviors

Question 20

A patient with anxiety is interested in herbal supplements. Which of the following should the nurse include in teaching?

Accepted Answer

Kava may be beneficial but is linked to severe liver damage

Anxiety Disorders: Stress, Coping, and Clinical Management

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