Answer to Question 1
ANS: A, B, C, D
To meet the first DSM-IV-TR criterion for panic disorder with agoraphobia, the person must experience recurrent, unexpected panic attacks, with at least one attack followed by one of the following for a month: (1) persistent concern about having additional attacks; (2) worry about the implications of the panic attacks; or (3) a significant change in behavior as a result of the attacks. The second criterion is that the individual experiences agoraphobia. Agora-phobic fears typically involve being in a crowd. The third criterion is that the person avoids agoraphobic situations or has anxiety about having a panic attack. This person will not go to an area or event where he or she has experienced an agoraphobic reaction. The fourth criteri-on states that panic attacks are not caused by the direct effects of a substance, a medication, or a medical condition.
Answer to Question 2
ANS: C
Patients with anxiety disorders should always be assessed for the presence of depression and suicidal ideation, the priority risk to safety. This patient has admitted feeling powerless to control the symptoms, in addition to wondering if she can continue to live the way she has been. There is ample reason for asking about suicidal ideation. The remaining options address hopelessness, social isolation, and low self-esteem. While appropriate nursing concerns, they don't have the priority self-harm has for this patient.
Sublingual medication administration. Photograph of a male patient placing a nitroglycerine tablet u
Patient health history form Cont.
A physical therapist exercising the patient’s leg in a physical therapy department.
ROM exercises on a patient’s wrist: extension.
Amyloid plaques (stained blue) in the brain of a deceased patient who had Alzheimer’s disease.
Oral pseudo membraneous candidiasis in a patient with AIDS.