A college student has been diagnosed with Generalized Anxiety Disorder (GAD). Which of the following symptoms should a campus nurse expect this client to exhibit? Select all that apply.

Hyperventilation

Irritability

Anorexia

Insomnia

Fatigue

Answer and Explanation

Correct Answer : A,B,D,E

Choice A: Hyperventilation

Hyperventilation is rapid breathing that usually occurs because of anxiety or panic. This leads to low levels of carbon dioxide in your blood which causes a number of symptoms. Hyperventilation in anxiety can be a tricky thing to understand. On one hand, it can feel like you're suffocating or not getting enough air. On the other hand, hyperventilation can also cause shortness of breath, chest pain, and lightheadedness.

Choice B: Irritability

Irritability is a common symptom of Generalized Anxiety Disorder (GAD). Individuals with GAD often experience severe feelings of fear and unease and report feeling restless and irritable that interfere with the quality of their life.

Choice C: Anorexia

While there is a relationship between anxiety disorders and anorexia nervosa, anorexia is not a common symptom of Generalized Anxiety Disorder (GAD). Anorexia nervosa is a separate disorder that involves a fear of gaining weight and a distorted body image.

Choice D: Insomnia

Insomnia is highly prevalent in psychiatric disorders, and it has significant implications. The anxiety that characterizes GAD often interferes with the ability to sleep and leads to insomnia. This is not unexpected. Anxiety might be viewed as an inappropriate escalation of a response called arousal.

Choice E: Fatigue

Fatigue is a common symptom of Generalized Anxiety Disorder (GAD). Individuals with GAD may feel restless and have trouble relaxing. They may also tire easily or feel tired all the time.

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Correct Answer is D

Explanation

Choice A reason: Hypersomnia is not typically associated with cocaine intoxication, which usually results in increased alertness and energy.

Choice B reason: Depression may occur as a come-down effect after the cocaine high, but it is not a direct symptom of intoxication.

Choice C reason: Nystagmus, or rapid involuntary movements of the eyes, can occur with cocaine intoxication.

Choice D reason: Dilated pupils are a common sign of cocaine intoxication due to its stimulant effects on the nervous system.

A. The narcotic count is incorrect when the nurse ends the shift. B. The nurse has poor hygiene practices and has an offensive body odor. C. The observing nurse finds oral narcotics blister packs torn in the back. D. The clients are reporting a lack of pain control when the nurse is working. E. The nurse administers narcotics and then goes to use the bathroom.

Correct Answer is ["A","C","D","E"]

Explanation

Choice A: The narcotic count is incorrect when the nurse ends the shift

An incorrect narcotic count at the end of a shift is a serious issue that could indicate potential drug diversion. It's crucial for nurses to accurately count and document narcotics to ensure patient safety and maintain legal and ethical standards. Therefore, this behavior should be reported to the nurse manager.

Choice B: The nurse has poor hygiene practices and has an offensive body odor

While poor hygiene and offensive body odor can be disruptive and unpleasant in a workplace setting, they are not direct indicators of substance use disorder. However, it's important to note that changes in personal hygiene can sometimes be a sign of other health or personal issues.

Choice C: The observing nurse finds oral narcotics blister packs torn in the back

Finding torn narcotics blister packs could indicate that a nurse is diverting drugs for personal use. This is a serious violation of nursing practice and should be reported immediately.

Choice D: The clients are reporting a lack of pain control when the nurse is working

If patients consistently report a lack of pain control when a specific nurse is working, it could suggest that the nurse is not administering the prescribed pain medications properly¹?¹?¹?¹?¹?. This could be due to a variety of reasons, including potential drug diversion, and should be reported.

Choice E: The nurse administers narcotics and then goes to use the bathroom

Frequent bathroom breaks immediately after administering narcotics could be a red flag for drug diversion. While there could be other explanations, this behavior in the context of the other signs could indicate a substance use disorder and should be reported.

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A college student has been diagnosed with Generalized Anxiety Disorder (GAD). Which of the following symptoms should a campus nurse expect this client to exhibit? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in an emergency department is assessing a client for suspected cocaine intoxication. Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

The nurse suspects another nurse of substance use disorder while working in the long-term care facility. Which behavior(s) will the observing nurse report to the nurse manager? Select all that apply.

Correct Answer is ["A","C","D","E"]

Explanation

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