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 D

Explanation

A. Isolating the client is not appropriate, as it can increase anxiety and exacerbate the compulsive behaviors.

B. Setting strict limits can lead to increased anxiety and resistance, making it harder to manage the compulsive behaviors.

C. Confronting the client about the senselessness of their compulsions can increase anxiety and worsen the behavior. It is more helpful to provide a supportive environment that allows for the rituals, gradually decreasing their frequency and intensity.

D. Clients with OCD often perform compulsive rituals to reduce anxiety. Planning time for rituals helps to manage the behavior while maintaining the therapeutic structure and routine on the unit.

A. Panic B. Moderate C. Mild D. Severe

Correct Answer is A

Explanation

A. The client’s physical symptoms (chest pain, headache, shortness of breath) and statements about not understanding why his wife left indicate a panic level of anxiety, which is marked by intense physical and emotional distress.

B. Moderate anxiety involves increased nervousness or slight discomfort but does not cause the severe physical symptoms seen in panic anxiety.

C. Mild anxiety presents with slight restlessness or tension, without significant physical symptoms.

D. Severe anxiety would involve significant impairment in thinking or perception but is more focused on a sense of being overwhelmed or immobilized, rather than exhibiting full panic symptoms.

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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 in a mental health facility is planning care for a client who has obsessive-compulsive disorder (OCD) and is newly admitted to the unit. Which of the following actions should the nurse plan to take regarding the client's compulsive behaviors?

Correct Answer is D

Explanation

A nurse in the emergency department is caring for a client who reports chest pain, headache, and shortness of breath. He continues to state, "I don't know why my wife left me." The client receives a diagnosis of anxiety. The nurse realizes the client's findings support which level of anxiety?

Correct Answer is A

Explanation

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