A nurse is assessing a client with generalized anxiety disorder (GAD) Which data should the nurse prioritize obtaining during the assessment?

Family history of physical illnesses.

Personal history of trauma and abuse.

Level of physical activity.

Preferred type of relaxation technique.

Answer and Explanation

The Correct Answer is B

"Personal history of trauma and abuse."

Choice A rationale:

While family history of physical illnesses can contribute to a client's overall health profile, it is not a priority when assessing a client specifically for generalized anxiety disorder (GAD)

Choice B rationale:

Prioritizing obtaining information about a personal history of trauma and abuse is crucial because such experiences can significantly contribute to the development of GAD. Trauma and abuse can lead to chronic worry, hypervigilance, and increased anxiety responses.

Choice C rationale:

While the level of physical activity can impact a person's well-being, it is not a primary focus when assessing for GAD. The client's anxiety symptoms and triggers should take precedence during the assessment.

Choice D rationale:

Inquiring about the preferred type of relaxation technique is relevant but not as high a priority as understanding potential trauma and abuse history. Addressing trauma-related issues is fundamental to developing an effective treatment plan for GAD.

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Correct Answer is D

Explanation

"Excessive worry is a key feature of GAD."

Choice A rationale:

This statement is incorrect. GAD involves excessive worry about a wide range of situations, not just those that are likely to happen. The worry is often disproportionate to the actual circumstances.

Choice B rationale:

This statement is incorrect. GAD can significantly impact daily life by causing distress, impairing concentration, and affecting decision-making and problem-solving abilities.

Choice C rationale:

This statement is incorrect. GAD involves uncontrollable worry that is difficult to manage, rather than easy to control whenever it arises.

Choice D rationale:

This statement is correct. Excessive worry is indeed a key feature of GAD. Individuals with GAD experience persistent and excessive worry about various aspects of their life, often accompanied by physical symptoms such as restlessness, muscle tension, and fatigue. This worry is difficult to control and can lead to significant distress and impairment in daily functioning.

A. The client might have consumed excess caffeine. B. The client is likely dealing with physical pain. C. The client seems to be fatigued. D. The client is probably feeling overwhelmed by anxiety.

Correct Answer is D

Explanation

Choice A rationale:

"The client might have consumed excess caffeine." While excess caffeine intake can contribute to restlessness and a racing mind, the client's symptoms are more indicative of anxiety. This option ignores the possibility of an underlying mental health issue.

Choice B rationale:

Choice C rationale:

Choice D rationale:

"The client is probably feeling overwhelmed by anxiety." This response directly correlates the observed symptoms (restlessness, difficulty concentrating, racing thoughts) with anxiety, which is a common manifestation of Generalized Anxiety Disorder (GAD)

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A nurse is assessing a client with generalized anxiety disorder (GAD) Which data should the nurse prioritize obtaining during the assessment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing education to a group of clients with generalized anxiety disorder (GAD) Which statement by a client indicates a correct understanding of GAD?

Correct Answer is D

Explanation

A nurse observes a client with GAD showing signs of restlessness, difficulty concentrating, and irritability. The client mentions, "I can't sit still, and my mind is racing." How should the nurse interpret this information?

Correct Answer is D

Explanation

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