A 35-year-old client tells the nurse that they have 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 most appropriate for the nurse to provide about the nature of anxiety?

Anxiety is a normal response to everyday stress.

Anxiety is an abnormal response to everyday stress.

Anxiety is a physiological response to stress.

Anxiety is a sense of psychological distress.

Answer and Explanation

The Correct Answer is D

Choice A reason: This choice is incorrect. While anxiety can be a normal response to stress, the context implies that the client is experiencing more than a typical reaction.
Choice B reason: This choice is incorrect. Anxiety is not necessarily an abnormal response; it can occur in normal situations but becomes problematic when excessive.
Choice C reason: This choice is incorrect. While anxiety does have physiological components, the question seems to be asking about the experiential nature of anxiety.
Choice D reason: This is the correct choice. Anxiety is indeed a sense of psychological distress that can be triggered by stress but is characterized by excessive worry, fear, or apprehension.

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Correct Answer is A

Explanation

Choice A reason: This choice is incorrect as it dismisses the client's feelings and implies a timeline for grief, which can impede communication.

Choice B reason: This choice is appropriate as it oﬀers support and presence, which can facilitate communication.

Choice C reason: This choice is empathetic and acknowledges the client's feelings, promoting communication.

Choice D reason: This choice is open-ended and invites the client to share more, which can enhance communication.

A. Engaging the client in recreational activities. B. Requesting a prescription for an anti-anxiety agent. C. Oﬀering the client therapy to calm down. D. Remaining with the client to assess needs.

Correct Answer is D

Explanation

Choice A reason: Engaging in activities might be too demanding during a panic atack and could potentially exacerbate the client's anxiety.

Choice B reason: While medication may be part of the treatment plan, the immediate priority is to ensure the client's safety and comfort, which is best achieved by staying with them.

Choice C reason: Oﬀering therapy in the midst of a panic atack is not practical; the immediate need is to help the client feel safe and manage their acute symptoms.

Choice D reason: Staying with the client to assess their needs is the most appropriate immediate intervention to ensure safety and provide reassurance during a panic atack.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is talking with a client who states, "I am so sad today, it is the anniversary of my parent's death." Which response by the nurse may impede the communication process between the nurse and client?

Correct Answer is A

Explanation

A client is experiencing a panic atack while in the recreation room. Which intervention(s) would be a priority to promote the client's safety?

Correct Answer is D

Explanation

A psychiatric-mental health nurse is conducting an educational session for families of clients diagnosed with obsessive-compulsive disorder (OCD). What components should the nurse teach the families of clients diagnosed with OCD?

The client has been diagnosed with a depressive disorder. Which statement by the client indicates an understanding of this disorder?

Which neurological function is aﬀected by the action of serotonin?

The nurse is performing a mental health assessment for a client with schizophrenia. Which statement made by the client demonstrates that the client is having auditory hallucinations?

Safety is the nursing priority for a client who is at risk for alcohol withdrawal. A care plan for the client who is in withdrawal must include which nursing interventions?

For a client diagnosed with obsessive-compulsive disorder (OCD), which strategy should the nurse include in the client's plan of care to address the challenge of coping eﬀectively with daily obsessions and compulsions?

The nurse is caring for an assigned group of clients. Which client does the nurse identify as being at the highest risk for the development of delirium and will be closely monitored?

While conducting an admission interview with a client, the nurse suspects the client may be in alcohol withdrawal. Which screening tool can help the nurse identify the severity of withdrawal symptoms?