Chapter 18 PrepU

A 25-year-old client tells the nurse that the client has been worried and tearful lately because of pressures at work. The client states, "My partner tells me that it's 'stress' and 'anxiety'', but doesn't everyone have that? What is anxiety anyway?" Which response would be the most appropriate for the nurse to provide about the nature of anxiety? a. "Anxiety is a sense of psychological distress" b. "Anxiety is a physiologic response to stress" c." Anxiety is an abnormal response to everyday stress" d. "Anxiety is a normal response to everyday stress"

a. "Anxiety is a sense of psychological distress" Anxiety can be described as a sense of psychological distress, that is an uncomfortable feeling of apprehension or dread that occurs n response to internal or external stimuli

The nurse is caring for a client that begins crying uncontrollably and states, "I am so scared to be here, what if I die?" Which is the best response by the nurse? a. "Let's perform some breathing exercises to reduce your anxiety" b. "You are getting worked up over something that you have no control over" c. "Why are you having so much stress about being here?" d. "You don't have to worry, we will take good care of you"

a. "Let's perform some breathing exercises to reduce your anxiety" The most therapeutic response that the nurse can give to reduce the client's obvious level of stress is to help with breathing exercises and teach the client how to perform them when a stressful situation occurs

A nurse visits a client at home for an assessment after discharge from an inpatient behavioral health unit. The client informs the nurse about experiencing chest pain, shortness of breath, and sweating whenever leaving home unable to go to work. Which is the best response by the nurse? a. "This sounds like you may have a fear of open spaces when you leave home called agoraphobia" b. "It's important for you to push yourself outside of your comfort zone and go outside of the home" c. "You have many issues related to anxiety and need intensive psychotherapy to overcome them all" d. "This is likely due to the medication you are taking to control anxiety"

a. "This sounds like you may have a fear of open spaces when you leave home called agoraphobia" Agoraphobia refers to the client's fear of open spaces, which would be faced whenever the client leaves home. The client is likely experiencing this form of phobia. There are some cognitive-behavioral therapies that may be effective along with antianxiety medication for treatment

A client is currently experiencing a panic attack. What is the most therapeutic response by the nurse? a. "You are safe. Take a deep breath" b. "What are you feeling right now?" c. "Just try to relax" d. "There is nothing here to harm you"

a. "You are safe. Take a deep breath" Saying, "You are safe. Take a deep breath", reassures and redirects the client

A client is currently experiencing panic. Which action would be most appropriate for the nurse to do? a. Allow the client to pace b. Employ the use of negative self-talk c. Ask the client repeated questions about feelings d. Urge the client to engage in vigorous exercise

a. Allow the client to pace With panic, the nurse should stay with the client. Allow pacing and walk with the client. No content inputs to the client's thinking should be made by the nurse

Linn a 42-year-old woman who is in the process of moving house after a divorce. She reports experiencing bouts of increased anxiety recently. How can the nurse best explain the physiological adaptation that occurs during fight-or-flight to this client? a. An increase in blood flow to the muscles b. An increased immune response and digestion c. A decrease in heart rate and blood pressure d. A decrease in blood clotting activity

a. An increase in blood flow to the muscles The widespread effects of the fight-or-flight response include an increase in heart rate, blood pressure, breathing rate, perspiration, blood flow to the muscles, and blood clotting ability; a decrease in saliva production, digestion, and immune response; and a release of stored glycogen

Panic disorder is treated with cognitive-behavioral techniques and deep breathing and relaxation, in addition to which of the following? a. Antianxiety medications b. Antipsychotics c. Anticonvulsants d. CNS depressants

a. Antianxiety medications Panic disorder is treated with cognitive-behavior technique; deep breathing and relaxation; and antianxiety medication, such as benzodiazepines, SSRIs, tricyclics, and antihypertensives, such as Catapres and Inderal

An adult client is being treated in the outpatient clinic for anxiety related endocrine dysfunction. Which disorder will the nurse document in the client's medical record? a. Anxiety disorder due to another medical condition b. Substance/medication-induced anxiety c. Selective mutism d. Separation anxiety disorder

a. Anxiety disorder due to another medical condition Selective mutism is diagnosed in children when they fail to speak in social situations even though they are able to speak. Anxiety disorder due to another medical condition is diagnosed when the prominent symptoms of anxiety are the result directly from a physiological condition such as endocrine disorders, COPD, CHF, and neurological disorders.

The nurse is caring for a client who is prescribed alprazolam for acute anxiety. Which will the nurse include when educating the client about the medication? a. Avoid alcoholic beverages while taking the medication b. Report any drowsiness experienced c. Adjust dose and frequency based on anxiety level d. Avoid food high in tyramine

a. Avoid alcoholic beverages while taking the medication Drinking alcohol or taking any anxiolytics along with the prescribed benzodiazepine should be avoided because depressant effects of both drugs will be potentiated

A nurse is caring for an adult client diagnosed with anxiety disorder. What intervention(s) would be appropriate for the nurse to implement for the client? Select all that apply a. Engage the client to explore how to decrease stressors b. Help the client focus on deep breathing c. Provide a safe environment d. Teach the client to use relaxation techniques e. Leave the client alone during a panic attack

a. Engage the client to explore how to decrease stressors b. Help the client focus on deep breathing c. Provide a safe environment d. Teach the client to use relaxation techniques

A client states that the client has just had an argument with the client's spouse over the phone. What can the nurse expect that the client's sympathetic nervous system has stimulated the client's adrenal gland to release? a. Epinephrine b. Endorphins c. Testosterone d. Dopamine

a. Epinephrine In the sympathetic-adrenal-medullary response to stress, the sympathetic nervous system stimulates the adrenal gland to release epinephrine and norepinephrine

A nurse is preparing a plan of care for a client with anxiety. Which elements would the nurse likely include? Select all that apply a. Identifying treatment modalities b. Using appropriate coping skills c. Using restraint when panic develops d. Involving family for support, if appropriate e. Providing supportive feedback

a. Identifying treatment modalities b. Using appropriate coping skills d. Involving family for support, if appropriate e. Providing supportive feedback

A client reports experiencing a panic attack when driving through a tunnel since having their car breakdown in a tunnel during rush hour several months ago. In which way would the nurse interpret the client's panic attacks? a. Interoceptive conditioning b. Hypothalamic-pituitary-adrenal axis disorder c. Abnormality in the amygdala and midbrain structures d. Overstimulation of gamma0aminobutryric acid receptors

a. Interoceptive conditioning Overstimulation of GABA receptors will reduce anxiety. HPA disorder activates under stress. Abnormality in amygdala and midbrain structures are not symptoms described. Interoceptive/Classical conditioning suggests that one learns a fear response by linking an adverse or fear provoking event, such as a car accident, with a previously neutral event, such as a bridge

The nurse uses the Hamilton Anxiety Rating Scale to assess a client. The client receives a score of 20. The nurse interprets this score and develops a treatment plan according to which level of anxiety? a. Moderate b. Minimal c. Mild d. Severe

a. Moderate The Hamilton Anxiety Rating Scale (HAM-A) is an evidence-based tool used to assess client perceptions of their anxiety symptoms and the impact on their quality of life. Optimal HAM-A score ranges are: Mild anxiety = 8-14; Moderate anxiety = 15-23; Severe anxiety > 24; Scores < 7 were considered to represent no/minimal anxiety

The nurse is with a client while having a magnetic resonance imaging (MRI) study when the client begins to have a panic attack. Which is the primary concern for this client that the nurse will immediately address? a. Moving off of the MRI table b. Voiding incontinently c. Experiencing profuse diaphoresis d. The heart rate of 128 beats per minute

a. Moving off of the MRI table During panic-level anxiety, the person's safety is the primary concern. The client cannot perceive potential harm and may have no capacity for rational thought

A nurse is reading an article about anxiety and the behaviors of individuals when different degrees of anxiety are experienced. The nurse demonstrates understanding of the article, identifying which degree of anxiety is being evidenced by a client's cognitive process being focused only on the person's defense? a. Panic b. Mild c. Moderate d. Severe

a. Panic Panic anxiety reduces the perceptual field to focus on self, and the client cannot process any environmental stimuli

A client is diagnosed with panic disorder. When considering the neurochemical theory of the disorder, which would the nurse expect to administer as the drug of choice initally? a. Selective serotonin reuptake inhibitors b. Tricyclic antidepressants c. Benzodiazepines d. Antihypertensives

a. Selective serotonin reuptake inhibitors

A client has been unemployed related to frequent absences due to an anxiety disorder and informs the nurse they would like to have a job working alone without someone evaluating their performance. How will the nurse interpret this comment? a. Social anxiety disorder is the cause for the client's behavior b. Ritualistic and compulsive behaviors are causing frequent tardiness c. Agoraphobia is being experienced, demonstrated by an inability to leave home d. The client feels that the work doesn't require supervision

a. Social anxiety disorder is the cause for the client's behavior Social anxiety disorder, previously termed social phobia, involves a persistent fear of social or performance situations in which embarrassment may occur. Exposure to the feared social or performance situation nearly provides immediate anxiety and may trigger panic attacks. People with social anxiety disorder fear that others will scrutinize their behavior and judge them negatively

A client states to the nurse, "I just can't talk in front of the group." The client begins pacing with muscles tightening and irritability. Which action by the nurse will address this level of anxiety? a. Stay with the client and speak in a low, calming voice b. Encourage the client to overcome the fear and talk to the group c. Redirect the client to contribute to the group after calming down d. Allow the client to sit alone and overcome the anxiety

a. Stay with the client and speak in a low, calming voice Physiologic responses to severe anxiety include headache, nausea, vomiting, diarrhea, trembling, rigid stance, vertigo, pulse, tachycardia, and CP. Vertigo can cause a sensation of "passing out". A client who is panicking would not be able to articulate their state. The nurse will stay with the client and speak in a low, calming voice to deescalate the anxiety being experienced

A nurse assesses a client and determines that the client is experiencing mild anxiety based on what? a. The client is aware and alert b. The client has focused attention on a small area c The client is selectively inattentive d. The client voices feelings of unreality

a. The client is aware and alert

A nurse is conducting a group session in the behavioral health unit for three clients on the topic of anxiety. The nurse determines that the session was successful based on which statement by the clients? a. "Anxiety is always harmful and not productive in my life" b. "Anxiety cannot be completely eliminated from my life" c. "Anxiety and fear are the same" d. "Fear is feeling threatened by an unknown entity"

b. "Anxiety cannot be completely eliminated from life" Anxiety is distinguished from fear, which is feeling afraid or threatened by a clearly identifiable external stimulus that represents danger to the person. Anxiety is unavoidable in life and can serve many positive functions, such as motivating the person to take action to solve a problem or resolve a crisis

The nurse is providing care for a psychiatric-mental health client who has a diagnosis of anxiety. Which statement by the nurse is likely the most therapeutic intervention? a. "Every time you feel anxious, try to focus on how much easier your life would be if you didn't have anxiety so often" b. "Anxiety is a feeling that is experienced by everyone at some point and it can never be completely removed from one's life" c."With the development of more life skills, and a demonstration of continued success in life, your anxiety will shrink and eventually disappear" d. "If you address the causes of your anxiety head on, you will find that you can recover from it without medication or therapy"

b. "Anxiety is a feeling that is experienced by everyone at some point and it can never be completely removed from one's life"

A client who was discharged from an inpatient facility is sitting in the dayroom waiting for their transportation. Suddenly the client starts throwing papers and stomping their feet. Which initial action is appropriate? a. Contact the health care provider and reconsider the discharge orders b. Assess the use of defense mechanisms c. Offer the client food and drink as a distraction d. Identify whether the client's transportation is ready

b. Assess the use of defense mechanisms The most appropriate initial action is the assessment of whether the client is displaying a defense mechanism of acting out when experiencing anxiety. Clients who are preparing to leave inpatient units are likely to feel anxious about the impeding change

An adult client being admitted to the psychiatric-mental health unit is experiencing severe anxiety. What is the nurse's priority action for the client? a. Encourage the client to problem solve b. Decrease the client's anxiety level c. Teach relaxation techniques d. Leave the client alone

b. Decrease the client's anxiety level When anxiety becomes severe, the client can no longer pay attention or take in information. The nurse's goal must be to lower the person's anxiety level to moderate or mild before proceeding with anything else

Nursing interventions for physical stress related illness should include what? a. Attending group therapy b. Establishing daily routines of meals and sleeping c. Assessing the need for increased dose of benzodiazepines d. Fostering the use of social support system

b. Establishing daily routines of meals and sleeping Individuals experiencing or at risk for untoward stress responses may benefit from a number of biologic interventions. The importance of (re)establishing regular routines for activities of daily living cannot be overstated. As well as adequate nutrition, sleep and rest, and hygiene, and routine may help to structure an individual's time and give them a sense of personal control or mastery

A client with a specific phobia of spiders is seeing a therapist for the first session of treatment. The therapist hands the client a clear container with a large house spider inside. This activity is repeated continuously until the client's fear subsides. Which strategy is being used to treat the client's specific phobia? a. Biofeedback b. Flooding c. De-catastrophizing d. Assertiveness training

b. Flooding Flooding is a form of rapid desensitization in which a behavioral therapist confronts the client with the phobic object until it no longer produces anxiety. The goal is to rid the client of the phobia within two sessions

An adolescent client reveals that she is about to take a math test from her tutor. Nursing assessment reveals mild anxiety. The nurse explains that this level of anxiety does what? a. Will interfere with her cognitive abilities b. Is conducive to concentration and problem solving c. May be transferred to her tutor and result in test anxiety d. Is pathologic and warrants postponing the test

b. Is conducive to concentration and problem solving Mild anxiety is often helpful to individuals and can assist in maintaining concentration and problem-solving abilities

An adult client diagnosed with PTSD is experiencing muscle tension, diaphoresis, and a headache. The client's voice pitch is high, and the client has selective attention and cannot connect thoughts or events independently. The nurse understands that the client is experiencing which level of anxiety? a. Severe b. Moderate c. Mild d. Panic

b. Moderate Moderate anxiety is the disturbing feeling that something is definitely wrong, the person becomes nervous or agitated. In moderate anxiety the person can still process information, solve problems, and learn new things with assistance from others. They have difficulty concentrating independently but can be redirected to the topic

A psychiatric-mental health nurse counsels a client experiencing anxiety. Which maladaptive response may result if the anxiety is not controlled for the client? a. Relaxation of body b. Tension headache c. Using imagery techniques d. Baseline vital signs

b. Tension headaches Anxiety causes uncomfortable cognitive, psychomotor, and psychological responses, such as logical thought, increasingly agitated motor activity, and elevated vital signs. To reduce these uncomfortable feelings, the person tries to reduce the level of discomfort by implementing new adaptive behaviors or defense mechanisms

The nurse reviews techniques to enhance cognitive functioning for a client with a panic disorder. Which client statement indicates that teaching has been effective? a. "I should list the things that I can do to stop an attack" b. "I will talk about my symptoms when I feel an attack coming soon" c. "I will use positive coping statements that I have prepared" d. "I will take shallow breaths and walk around the room"

c. "I will use positive coping statement that I have prepared" There are interventions the nurse can use to help a client experiencing panic attack. Positive self-talk involves planning and rehearsing positive-coping statements to give the client a focal point and reduce fear when panic symptoms begin

The nurse is educating a client that is experiencing mild anxiety. Which statement made by the client indicates that the education is effective? a. "I need to eliminate all of the stress in my life" b. "There are no physical symptoms with anxiety" c. "Some degree of anxiety is beneficial for learning" d. "I need to take medication for my anxiety every day"

c. "Some degree of anxiety is beneficial for learning"

A client diagnosed with panic disorder is being admitted to the psychiatric-mental health unit for panic attacks. Which client outcome would be appropriate in the immediate phase of care? a. "The client will demonstrate the ability to perform relaxation techniques" b. "The client will be free from panic attacks" c. "The client will respond to relaxation techniques with staff assistance and demonstrate a decreased anxiety level within 2 to 3 days" d "The client will reduce own anxiety level without staff assistance"

c. "The client will respond to relaxation techniques with staff assistance and demonstrate a decreased anxiety level within 2 to 3 days" Client outcomes vary depending on the stage of care that the client is in. The immediate phase focuses on short-term goals and safety and may include being free from injury throughout hospitalization, discussing feelings within 24-48 hours, and responding to relaxation techniques with staff assistance and demonstrating a decreased anxiety level within 2-3 days

A nurse is preparing a presentation for a local community group about anxiety disorders. When addressing incidence, the nurse would describe that anxiety disorders occur in approximately what percentage of adults each year? a. 10% b. 25% c. 18% d. 40%

c. 18% Anxiety disorders are the most common of the psychiatric illnesses treated by healthcare providers. Approximately 40 million American adults or about 18.1% of this age group within a given year have an anxiety disorder

The nurse is creating a plan of care for a client that has been experiencing stress responses frequently. Which overall goal(s) of care are of the highest priority? a. Positive social support will be received b. Cognitive appraisal will be received c. Adaptative coping skills will be received d. No further stress reactions will be experienced

c. Adaptative coping skills will be received The overall goals of care for those individuals actively experiencing a stress response are to eliminate or moderate the stressor (if possible), to reduce untoward effects of the stress response, and to facilitate the maintenance or development of positive coping skills

The mental health nurse knows that which medication classification has been found to be effective in reducing or eliminating panic attacks? a. Antipsychotics b. Antimanics c. Antidepressants d. Anticholinergics

c. Antidepressants

A nurse is providing care to a client with a specific phobia. When developing the client's plan of care, which type of therapy would the nurse most likely expect to include as the treatment of choice? a. Implosive therapy b. Systematic desensitization c. Exposure therapy d. Flooding

c. Exposure therapy Exposure therapy is the treatment of choice for clients with specific phobia. Systematic desensitization exposes the client of a hierarchy of feared situations that the client has rated from least to most feared. Implosive therapy is a proactive technique useful in treating clients with agoraphobia. Flooding is a technique used to desensitize a client to the fear associated with a particular anxiety provoking situation

A client is prescribed medication therapy as treatment for panic disorder. Which medication would a nurse expect to administer when prescribed as first-line medication therapy for panic disorder? a. Venlafaxine b. Alprazolam c. Paroxetine d. Imipramine

c. Paroxetine Although other medications may be used to treat panic disorder and other anxiety disorders, SSRIs are recommended as the first drug option in the treatment of client's with panic disorder

An adult client diagnosed with panic disorder is being counseled in the clinic. The nurse teaches the client that when they are experiencing severe anxiety or panic, instead of thinking, "I am going to die," the client learns to think, "This is anxiety, and it will go away" Which technique is the nurse utilizing with the client? a. Dialectical behavioral therapy b. Assertiveness training c. Positive reframing d. De-catastrophizing

c. Positive reframing De-catastrophizing involves the therapist's use of questions to appraise the situation more realistically. The therapist may ask, "What is the worse thing that can happen? Is that likely? Could you survive that? IS that as bad as you imagine?" DBT is not a therapy choice for anxiety disorders. Assertiveness training helps the person take more control over life situations. These techniques help the person regulate interpersonal situations and foster self-assurance

The nurse observes a client that is attending their first group therapy session exhibiting anxious behaviors. Which is the priority action for the nurse to take to promote comfort when attending the session? a. Have the client perform relaxation techniques after they go into the session b. Inform the client that behaviors won't change without the group therapy c. Remain calm when approaching and encouraging the client to attend d. Have the client make a choice about whether they want to attend or come later

c. Remain calm when approaching and encouraging the client to attend The client will fell more secure if you are calm and if the client feels you are in control of the situation. The client may not make sound decisions or may be unable to make decisions or solve problems

When developing a plan of care for a client diagnosed with panic disorder, which nursing diagnosis would be considered the priority? a. Powerlessness b. Anxiety c. Risk for Self-Directed Violence d. Social isolation

c. Risk for Self-Directed Violence

A client experiences panic attacks when confronted with riding in elevators. The nurse is teaching the client ways to relax while incrementally exposing the client to getting on an elevator. What technique will the nurse employ to assist the client with overcoming the phobia? a. Flooding b. Combination therapy c. Systematic desensitization d. Cognitive restructuring

c. Systematic desensitization One behavioral therapy often used to treat phobias is systematic (serial) desensitization, in which the therapist progressively exposes the client to the threatening object in a safe setting until the client's anxiety decreases

A group of nursing students are reviewing signs and symptoms of anxiety. The students demonstrate a need for additional review when they identify what? a. Palpitations b. Motor excitement c. Tearfulness d. Extreme restlessness

c. Tearfulness The clinical symptoms of anxiety are numerous. They are generally classified as physiologic, psychologic or emotional, behavioral, and intellectual or cognitive responses to stress. The clinical symptoms may vary according to the level of anxiety exhibited by the client. Tearfulness and sadness are symptoms of depressions, not anxiety

A client reports experiencing increased stress at work. The client has been managing the stress by drinking 2-3 glasses of wine per evening. Despite the nurse recommending that drinking alcohol is not an effective way to manage the stress, the client feels it will be difficult to stop drinking. Which statement explains why this will be difficult for the client? a. Drinking alcohol is more socially acceptable than taking medications b. A few glasses of wine each night is not necessarily the problem c. The client has insufficient adaptative coping mechanisms d. The client is probably physically dependent on alcohol

c. The client has insufficient coping mechanisms Clients learn to reduce the anxiety they feel in either functional or dysfunctional ways. The nurse first explores with the client what techniques the client has used in the past and helps the client identify and enhance those strategies that are most beneficial

The nurse is educating the client with generalized anxiety disorder (GAD) about nutrition as a supporting factor in controlling the disorder. Which client statement indicates further education is required? a. "Foods that contain high amounts of refined sugar should be limited" b. "Food and drinks with high sodium content should be avoided" c. "I will limit the amount of foods that are high in fat" d. "I should only drink tea or coffee and avoid cola products"

d. "I should only drink tea or coffee and avoid cola products" The effects of caffeine are similar to some anxiety symptoms, and therefore, caffeine ingestion will worsen anxiety

A client with a panic disorder asks why the management of the disorder will be done through the primary care provider. Which response would the nurse make? a. "Medications for your condition need to be prescribed by your primary healthcare provider" b. "Panic disorders are considered a medical problem, so your primary healthcare provider will manage it" c. "Mental health professionals manage the disorder when the client is in the hospital" d. "Your primary healthcare provider is managing your condition because the symptoms could indicate a medical problem"

d. "Your primary health care provider is managing your condition because the symptoms could indicate a medical problem" Coordination of care between mental health and primary care leads to safer management of anxiety disorders. People with anxiety disorders are often treated in the primary care environment because the symptoms could mimic other health problems, specifically cardiac problems

The nurse recognizes that which client is most likely experiencing generalized anxiety disorder (GAD)? a. 30-year-old business executive who reports being anxious about attending the meetings and social events that are in the executive's job responsibilities b. 70-year-old whose spouse died 1 year ago who has "no desire to leave my house" and reports severe fatigue c. 22-year-old solider who served in the Middle East who "cannot sleep" and is facing criminal charges for hurting someone in a bar room brawl d. 40-year-old who has reported numerous absences from work, muscle aches, and difficulty falling asleep for the last 8 months

d. 40-year-old who reported numerous absences from work, muscle aches, and difficulty falling asleep for 8 months GAD is characterized by excessive worry and feelings of anxiety at least 50% of the time for 6 months or more. The client with GAD had 3 or more of the following symptoms: uneasiness, irritability, muscle tension, fatigue, difficulty thinking, and sleep alterations

A client with an anxiety disorder spends most free time alone. Which strategy would the nurse suggest to develop a sense of connection with others? a. Avoid multitasking b. Develop a daily schedule c. Read inspiring stories or essays d. Engage in recreational activity

d. Engage in recreational activity A client with anxiety may have challenges with coping, satisfying work, incorporating physical activity, sleep hygiene, and expanding a sense of purpose in life. For a client who spends most free time alone, developing a sense of connection, belonging, and a support system when appropriate

During which type of anxiety does a person's perceptual field actually increase? a. Panic b. Severe c. Moderate d. Mild

d. Mild

Which medication classification has most commonly been used to treat social phobia? a. Tricyclic antidepressants (TCAs) b. Nonbenzodiazepines c. Monoamine oxidase inhibitors (MAOs) d. Selective serotonin reuptake inhibitors (SSRIs)

d. Selective serotonin reuptake inhibitors (SSRIs) SSRIs are used to treat clients with social anxiety disorders because they significantly reduce social anxiety and phobic avoidance. Benzodiazepines are also used to reduce anxiety caused by phobias

Which condition involves a persistent, irrational fear attached to an object or situation that objectively does not pose a significant threat? a. Generalized anxiety disorder b. Posttraumatic stress disorder c. Obsessive-compulsive disorder d. Specific phobia

d. Specific phobia Specific phobia is a disorder marked by persistent fear of clearly discernible, circumscribed objects or situations, which often leads to avoidance behaviors

The nurse is creating an education plan for a client with diabetes mellitus to address the dietary modifications to manage the disease. Which characteristic identified by the nurse indicates that the client is prepared for the education? a. The client has a rapid rate of speech b. The client is focused only on the immediate task c. The client demonstrates a narrowed perceptual field d. The client has a heightened focus

d. The client has a heightened focus Mild anxiety is associated with increased learning ability. It involves sensation that something is different and warrants special attention. Sensory stimulation increases and helps the person focus attention to learn, solve problems, think, act, feel, and protect themselves

The nurse is assessing clients in the behavioral health unit. For which client will the nurse identify that a PRN medication should be administered to control anxiety? a. A client that will be discharged home with a spouse today b. A client that is experiencing mild anxiety prior to talking with the therapist c. A client that is admitted and being oriented to the unit and states, "I am nervous" d. The client with high anxiety level experiencing disorganized thoughts

d. The client with a high anxiety level experiencing disorganized thoughts PRN medications may be indicated for high levels of anxiety, delusions, or disorganized thoughts. Medication may be necessary to decrease anxiety to a level at which the client can feel safe

Which of the following is inconsistent with panic-level anxiety? a. The goal is to lower the client's anxiety to mild or moderate before proceeding with anything else b. The nurse needs to maintain a non-stimulating environment c. The nurse should remain with the client until the panic recedes d. This level of anxiety can be sustained indefinitely

d. This level of anxiety can be sustained indefinitely Panic-level anxiety cannot be sustained indefinitely. The nurse should remain with the client until the panic recedes and maintain a non-stimulating environment. The goal is to lower the client's anxiety to mild or moderate before proceeding with anything else

Which would not be an initial intervention for the client with acute anxiety? a. Maintaining a non-stimulating environment b. Encouraging the client to verbalize feelings and concerns c. Use of open-ended communication techniques d. Touching the client in an attempt to comfort the client

d. Touching the client in an attempt to comfort the client The nurse should evaluate carefully the use of touch because clients with high anxiety may interpret touch by a stranger as a threat and pull away abruptly