[Solved]: Angela Stevenson is a 52 year old female who presents…

Angela Stevenson is a 52 year old female who presents to the community mental health clinic. Angela was working in the office this week and witnessed the collapse of a 6-story office building. The death toll from the collapse of that building was over 100. Reason for visit: feeling increasingly depressed for a long time, easily irritated, anxious, and as someone who does not enjoy normal activities. Chart data: Medical history: Hypothyroidism Depression Social history: divorced, no children, job responsibilities include significant traveling 1) RECOGNIZE CUES: During the initial assessment, what areas should the nurse should focus on that are most characteristic of an anxiety disorder? Select 3. Select 3 correct answer(s) Question 22 options: Social interactions such as withdrawal, shunning family, and drinking alcohol. Behavioral alterations including hallucinations. Increasing symptoms of depression with consistently sad, low mood. Symptoms of restlessness, difficulty concentrating, irritability. Suicidal ideation. Question 23 (1 point) 2) Angela states she cannot perform her normal activities of daily living, and explains that her anxiety is due to her boss’ high expectations at work. She has narrow view and focuses on her boss as the ONLY source of anxiety and is unable to problem-solve. ANALYZE CUES: What level of anxiety does Angela have based on her perception/view? Question 23 options: Mild Panic. Severe Moderate Question 24 (1 point) 3) During the interview Angela explains that she is feeling depressed and has thoughts of suicide. ACTIONS: What is the most important question to ask to assess Angela’s level of risk for attempting suicide? Question 24 options: Ask the client if she has a plan to harm herself. Ask the client about their current diet and nutritional intake. Ask the client if she is currently seeing a psychiatrist. Ask the client about their social life. Question 25 (1 point) 4) Angela states that she “can’t go on like this and thinks about suicide daily”. Angela explains that her boss is singling her out at work because of her age. PRIORITIZE HYPOTHESES: Which of the following nursing diagnoses would be your priority for Angela? Question 25 options: Risk for injury as evidenced by verbal reports of thoughts of self-harm. Alteration in body image related to aging as evidenced by client reports of workplace discrimination. Ineffective coping related to concerns over workplace stress and anxiety as evidenced by client reports of ‘inability to go on like this’. Anxiety related to workplace stress and trauma as evidenced by self-reported symptoms of irritability, severe worry and narrow perception. Question 26 (1 point) 5) GENERATE SOLUTIONS: What are effective forms of non-pharmacologic therapy for persons experiencing anxiety disorders? Select 2. Select 2 correct answer(s) Question 26 options: Benzodiazepine Therapy Cognitive Behaviour Therapy Reducing stimulants in the diet Hyperventilation Question 27 (1 point) 6) The Primary Care Provider prescribes: Bupropion 150 mg once a day for symptoms of depression Lorazepam 0.50 mg twice a day prn for symptoms of anxiety ACTIONS: What teaching should the nurse provide to Angela about Bupropion? Select 2. Select 2 correct answer(s) Question 27 options: Bupropion cannot be taken with dairy products Side effects can include tachycardia, rhinitis and dry mouth It is safe to drink alcohol while taking Bupropion Anxiety level may increase Question 28 (1 point) 7) EVALUATE: What is most important to assess and monitor for while Angela is taking Bupropion? Question 28 options: Suicidal thoughts Energy level Level of anxiety