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 A

Explanation

A. A key outcome criterion for clients with anxiety disorder is the ability to demonstrate effective coping strategies, such as relaxation techniques or problem-solving, to manage anxiety.

B. Reduced hallucinations would be a goal for a client with a psychotic disorder, not an anxiety disorder.

C. Persistent avoidance behaviors would indicate that the client’s anxiety is not being effectively managed.

D. Feelings of tension and fatigue are common symptoms of anxiety and would not be considered an appropriate outcome for treatment.

A. Liver function tests must be monitored. B. Thyroid function tests should be performed every 6 months. C. A pretreatment electroencephalogram (EEG) will be done. D. High serum sodium levels can cause toxic levels of valproate

Correct Answer is A

Explanation

A. Valproate is associated with potential liver toxicity, so liver function tests must be monitored regularly during treatment.

B. Thyroid function tests are not required with valproate therapy, although they are important for other medications, such as lithium.

C. A pretreatment EEG is not necessary for valproate use. This test is typically used for clients with seizure disorders.

D. High serum sodium levels are not related to valproate toxicity; however, low sodium levels can increase the risk of toxicity.

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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

What is a possible outcome criterion for a client diagnosed with anxiety disorder?

Correct Answer is A

Explanation

A nurse is caring for a client who has bipolar disorder and a new prescription for valproate. Which of the following instructions should the nurse give the client about the use of this medication?

Correct Answer is A

Explanation

A client with PTSD experiences exaggerated startle response. The client is paranoid and hypervigilant. Which nursing intervention is most appropriate?

A client is to receive enoxaparin 30 mg subcutaneously. Available is enoxaparin 40 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is preparing a client who has chronic anxiety for discharge from the psychiatric unit. Which of the following instructions should the nurse include in the client's discharge plan?

A nurse is caring for a client who has been diagnosed with obsessive compulsive disorder (OCD) and is constantly picking up after others in the day room. The nurse should recognize that the client uses this behavior to do which of the following?

A nurse is teaching a client who has a new prescription for lithium to treat bipolar disorder. The nurse should instruct the client to ensure an adequate intake of which of the following dietary elements?

A nurse is planning care for a client who is in the manic phase of bipolar disorder. Which of the following interventions should the nurse include in the client's plan of care?

A charge nurse is teaching a group of nurses about the antagonist action of medications. The nurse should include in the teaching that which of the following antagonist medications is used for benzodiazepines?

A patient diagnosed with bipolar disorder is prescribed lamotrigine. The nurse should instruct the patient to immediately report which adverse effect?