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 A

Explanation

Choice A reason: Weight gain is indeed a known side effect of lithium treatment, and acknowledging this can validate the client's experience.

Choice B reason: This response could be perceived as blaming and does not acknowledge that weight gain can be a side effect of lithium.

Choice C reason: This statement is misleading as weight gain can occur beyond the first month of treatment with lithium.

Choice D reason: This statement is incorrect as weight loss is not the typical pattern associated with lithium; weight gain is more common.

A. Consider a transfer to a unit that does not require counseling of clients. B. Request that another nurse take over the counseling session with the client. C. Discuss with the client the issues surrounding the response made. D. The nurse should examine feelings and responses prior to counseling. E. Talking about feelings and emotions with a trusted colleague.

Correct Answer is ["B","D","E"]

Explanation

Choice A reason: Considering a transfer might avoid the immediate issue but does not address the nurse's countertransference or promote professional growth.

Choice B reason: Requesting another nurse to take over may be appropriate to ensure the client receives unbiased care while the original nurse addresses their countertransference.

Choice C reason: Discussing personal issues with the client is not appropriate as it can blur professional boundaries and may not be therapeutic for the client.

Choice D reason: The nurse should examine their feelings and responses to prevent personal experiences from affecting professional judgment and interactions with clients.

Choice E reason: Talking about feelings and emotions with a trusted colleague can provide support and help the nurse process their feelings in a safe environment.

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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 client began taking lithium for the treatment of bipolar disorder approximately one month ago. The client asks if it is normal to have gained 12 pounds in this time frame. Which is the appropriate nursing reply?

Correct Answer is A

Explanation

Correct Answer is ["B","D","E"]

Explanation

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