A nurse is conducting a group therapy meeting and is sharing a humorous story. When the group laughs at the story, a client diagnosed with schizophrenia jumps up and runs out while yelling, "You are all making fun of me." The nurse recognizes that which of the following behaviors is this client displaying?

The correct answer is choice D: "Remain with the client in his room for a while."

Choice D rationale:

This choice is the correct answer because when a client is experiencing panic-level anxiety, their immediate need is for support and reassurance. Staying with the client helps establish a sense of safety and demonstrates the nurse's presence, which can help reduce anxiety. Providing a calming and supportive presence is a therapeutic nursing intervention in this situation.

Choice A rationale:

Medicating the client with a sedative might be appropriate in some cases of severe anxiety, but it should not be the first action taken. Non-pharmacological interventions, such as offering emotional support, should be prioritized before resorting to medication.

Choice B rationale:

Joining a therapy group might be beneficial for the client in the future, but during the acute phase of panic-level anxiety, the client might not be in a state to actively participate and engage in group therapy. Immediate individual attention is necessary.

Choice C rationale:

While suggesting that the client rest in bed could be helpful for relaxation, it might not be sufficient to address the intensity of panic-level anxiety. The client might not be able to rest or calm down without more direct support from the nurse.

The correct answer is choice B: Tachycardia.

Choice A rationale:

Metrorrhagia (Choice A) refers to irregular or excessive uterine bleeding between menstrual periods. While anorexia nervosa can disrupt menstrual cycles, causing amenorrhea, metrorrhagia is not a common associated finding.

Choice B rationale:

Tachycardia (Choice B), or an abnormally fast heart rate, is a hallmark of anorexia nervosa. The severe calorie restriction and electrolyte imbalances associated with anorexia can lead to cardiac complications, including rapid heart rate, as the body tries to compensate for the lack of nutrients.

Choice C rationale:

Hyperkalemia (Choice C), which is elevated levels of potassium in the blood, is not a typical finding in anorexia nervosa. Electrolyte imbalances in anorexia more commonly involve decreased potassium levels (hypokalemia) due to inadequate intake and excessive purging.

Choice D rationale:

Constipation (Choice D) is a possible consequence of anorexia nervosa. Reduced food intake can lead to decreased bowel movements and constipation. However, tachycardia is a more specific and significant finding associated with anorexia nervosa.