NCLEX CRUSADE ACADEMY TEST - 12 AXIETY + PANIC ATTACK CRISIS INTERVENTION + PTSD

1. Anxiety is best defined as: A physiological reaction to infection. A subjective response to a perceived loss of safety. A neurological disease causing panic attacks. A behavioral disorder characterized by aggression.

2. Mild anxiety typically results in which of the following cognitive states?. Confusion and hallucinations. Alertness and increased awareness. Complete perceptual closure. Disorganized personality.

3. In moderate anxiety, the patient typically experiences: Increased perceptual field. Selective attention and distraction. Total perceptual closure. Complete inability to communicate.

4. Severe anxiety is characterized by: Full learning capacity. Hyperfocus on fearful details. Relaxed cognitive state. Enhanced communication ability.

5. During a panic level of anxiety, the nurse should expect: Organized thinking. Clear reasoning. Distorted reality and disorganized behavior. Increased ability to learn.

6. The priority nursing intervention for extreme anxiety without aggression is: Provide patient education. Increase sensory stimulation. Decrease sensory input and provide calm directions. Encourage group interaction.

7. When a patient becomes aggressive and anxious, the nurse's first priority is: Begin psychotherapy. Ensure physical safety. Educate about anxiety. Administer antidepressants.

8. A panic attack may cause which physiological changes?. Bradycardia and hypotension. Tachycardia and tachypnea. Hypothermia. Increased appetite.

9. During a panic attack the nurse should first: Teach coping strategies. Leave the patient alone. Address physical symptoms first. Discuss psychological triggers.

10. Benzodiazepines primarily act by: Stimulating dopamine. Depressing the central nervous system. Increasing serotonin. Blocking acetylcholine.

11. Which medication name suggests it is a benzodiazepine?. Sertraline. Lorazepam. Propranolol. Fluoxetine.

12. An important safety risk of benzodiazepines in older adults is: Severe hypertension. Increased fall risk. Hearing loss. Kidney stones.

13. Benzodiazepines should not be stopped abruptly because: They cause infection. Withdrawal may cause seizures. They cause anemia. They increase blood pressure.

14. Midazolam is commonly used for: Long-term depression treatment. Conscious sedation during procedures. Hypertension control. Pain management.

15. After midazolam administration the nurse should monitor for: Hyperglycemia. Respiratory depression. Skin rash. Increased appetite.

16. Patients receiving midazolam should avoid driving for approximately: 2 hours. 6 hours. 12 hours. 24 hours.

17. Grapefruit juice can cause medication toxicity because it: Accelerates drug elimination. Blocks hepatic metabolism enzymes. Increases kidney filtration. Enhances drug absorption in lungs.

18. Which drug class is affected by grapefruit interactions?. Benzodiazepines. Antibiotics. Vaccines. Antacids.

19. Buspirone is primarily used for: Acute panic attack sedation. Long term management of anxiety. Treating seizures. Inducing anesthesia.

20. Compared to benzodiazepines, buspirone: Causes stronger sedation. Has less hypnotic and muscle relaxant effect. Causes stronger respiratory depression. Is used only in emergencies.

21. Barbiturates are generally reserved for: Long-term anxiety treatment. Short-term insomnia or acute tension. Depression treatment. Antipsychotic therapy.

22. Generalized Anxiety Disorder is characterized by: Panic attacks only. Persistent excessive worry. Hallucinations. Memory loss.

23. Patients with GAD often present with: Only psychological symptoms. Only physical symptoms. Physical complaints masking anxiety. No symptoms.

24. PTSD originates from: Genetic disorders. Severe psychological trauma. Chronic infections. Poor nutrition.

25. A hallmark symptom of PTSD is: Hyperglycemia. Flashbacks of traumatic events. Increased appetite. Improved concentration.

26. A key therapeutic communication strategy with trauma patients is: Confrontation. Validation of feelings. Ignoring emotions. Challenging memories.

27. EMDR therapy is used to: Increase medication absorption. Desensitize trauma responses. Treat infections. Improve sleep only.

28. As anxiety rises, nursing communication should: Become more complex. Use shorter, simpler instructions. Include detailed explanations. Focus on education.

29. In psychiatric crisis care, the primary rule is: Patient independence. Medication first. Safety first. Group therapy.

30. Grounding techniques are used to: Increase anxiety awareness. Bring patients back to present reality. Promote sleep. Improve appetite.