A nurse is caring for a client who has an anxiety disorder.
Which of the following findings should the nurse recognize as a manifestation of mild anxiety?

Insomnia

Chest pain

C. Irritability

Incoherent speech

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Insomnia is a common symptom of anxiety, but it is not typically seen in mild cases. It is more often associated with moderate to severe anxiety.

When anxiety is mild, individuals may experience difficulty falling asleep or staying asleep, but they are not typically unable to sleep at all.

Other sleep-related symptoms of mild anxiety may include restlessness, nightmares, or early morning awakening.

Choice B rationale:

Chest pain is a serious symptom that can be caused by a variety of medical conditions, including anxiety. However, it is not a common manifestation of mild anxiety.

Chest pain associated with anxiety is typically described as a sharp, stabbing pain or a feeling of tightness in the chest. It may be accompanied by other symptoms such as shortness of breath, palpitations, or sweating.

If a client with anxiety is experiencing chest pain, it is important to rule out other potential causes, such as heart disease or a pulmonary embolism.

Choice D rationale:

Incoherent speech is a sign of severe anxiety or a panic attack. It is not typically seen in mild anxiety.

When a person is experiencing incoherent speech, they may have difficulty speaking in complete sentences or making sense of their thoughts. They may also slur their words or speak in a rapid, disjointed manner.

Choice C rationale:

Irritability is a common manifestation of mild anxiety. It is often characterized by a feeling of being easily annoyed or angered.

Individuals with mild anxiety may also be more impatient, short-tempered, or argumentative than usual.

They may also have a lower tolerance for frustration and stress.

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Correct Answer is B

Explanation

Choice A rationale:

While group activities can be beneficial for some clients with bipolar disorder, they may not be appropriate during a manic phase. This is because group settings can be overstimulating and overwhelming for individuals experiencing mania. The increased activity and social interaction can exacerbate symptoms such as racing thoughts, pressured speech, and impulsivity.

It's crucial to prioritize calming activities and minimize external stimuli during manic episodes.

Choice C rationale:

Providing a stimulating environment is not recommended for clients in the manic phase of bipolar disorder. A stimulating environment can worsen symptoms of mania, such as:

Increased energy and activity levels

Racing thoughts

Impulsivity

Distractibility

Risk-taking behavior

Irritability

Aggression

Decreased need for sleep Grandiose thinking

Poor judgment

Hypersexuality

A calm and structured environment is more conducive to managing manic symptoms.

Choice D rationale:

Scheduling daily seclusion times is not a standard intervention for clients in the manic phase of bipolar disorder. Seclusion is a restrictive intervention that should only be used as a last resort when a client is at risk of harming themselves or others. It's essential to explore less restrictive alternatives for managing manic symptoms, such as medication, therapy, and environmental modifications.

A. “He spends much of his time with his school friends.” B. “He has slept 9 hours each night for the past 2 years.” C. “He is very religious and attends services twice a week.” D. “His basketball coach committed suicide last month.”

Correct Answer is D

Explanation

A rationale:

Spending time with friends can be a protective factor against suicide, as it provides social support and connection.

While isolation can be a risk factor, spending time with friends does not inherently indicate suicide risk.

It's important to assess the quality of relationships and the presence of other risk factors.

Choice B rationale:

Regular sleep patterns often indicate healthy mental health.

Significant changes in sleep patterns (either too much or too little) can be warning signs, but consistent sleep of 9 hours is not typically a concern.

It's essential to evaluate sleep quality and any recent changes.

Choice C rationale:

Religious involvement can provide a sense of purpose, belonging, and support, which can be protective against suicide.

While it's not a guarantee of protection, it's generally a positive factor.

It's crucial to assess the individual's level of engagement and any potential conflicts within their religious beliefs.

Choice D rationale:

Exposure to suicide, especially in a close connection like a coach, can significantly increase a person's risk for suicide.

It can lead to normalization of suicide as a coping mechanism, imitation of behavior, or triggering of underlying mental health issues.

This is a strong risk factor that warrants immediate attention and assessment.

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A nurse is caring for a client who has an anxiety disorder. Which of the following findings should the nurse recognize as a manifestation of mild anxiety?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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A nurse is caring for a client who has an anxiety disorder.
Which of the following findings should the nurse recognize as a manifestation of mild anxiety?