A nurse is caring for a client who is experiencing excessive anxiety and worry in response to a variety of circumstances, and is unable to control their sense of worry. The nurse should identity that these manifestations indicate which of the following?

Agoraphobia

Generalized anxiety disorder

Separation anxiety disorder

Panic disorder

Answer and Explanation

The Correct Answer is B

A. Agoraphobia is marked by the fear of being in situations where escape may be difficult or help unavailable in case of panic-like symptoms. It is not characterized by generalized worry.

B. Generalized anxiety disorder (GAD) is characterized by excessive anxiety and worry that is difficult to control and is associated with a variety of circumstances. Individuals with GAD often experience chronic worry about multiple life domains, without a specific focus.

C. Separation anxiety disorder involves excessive fear of being separated from loved ones or familiar environments, which is different from generalized worry about multiple life events.

D. Panic disorder involves recurrent panic attacks that are not necessarily related to generalized anxiety or worry about various life situations.

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Correct Answer is C

Explanation

A. Attention-seeking conduct is more typical of personality disorders, such as borderline personality disorder, rather than anxiety.

B. Mild fidgeting is common in anxiety, but severe anxiety tends to manifest more intensely, with behaviors like threatening or aggressive actions.

C. Severe anxiety can lead to heightened agitation, which may include threatening behaviors as the client struggles to cope with overwhelming feelings of fear or distress.

D. While anxiety may impair problem-solving abilities, severe anxiety is more likely to lead to emotional dysregulation, not just mild difficulty in problem solving.

A. Ineffective coping B. Risk for impaired parenting C. Anxiety D. Risk for self-harm

Correct Answer is D

Explanation

A. Ineffective coping is important but secondary to addressing the immediate safety of the client.

B. While impaired parenting is a concern, the safety of the mother takes precedence over her ability to care for her child.

C. Anxiety is a symptom but does not pose as immediate a threat to the client’s well-being as the risk of self-harm.

D. Feelings of hopelessness in a mother diagnosed with postpartum depression can indicate a risk for self-harm or suicide. The priority is to ensure the client's safety, as these feelings are a critical sign of potential harm to themselves.

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A nurse is caring for a client who is experiencing excessive anxiety and worry in response to a variety of circumstances, and is unable to control their sense of worry. The nurse should identity that these manifestations indicate which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse at a walk-in mental health clinic is assessing a client experiencing severe anxiety. The nurse should recognize the client might exhibit which of the following manifestations?

Correct Answer is C

Explanation

A mother (G1 P1 T1 PO AO L1) diagnosed with postpartum depression expresses feelings of hopelessness. Which nursing diagnosis is the priority?

Correct Answer is D

Explanation

A patient with a history of bipolar I disorder is prescribed fluoxetine (Prozac) for a depressive episode. What is the nurse's priority action?

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