A nurse is gathering data from a client who has severe anxiety. Which of the following findings should the nurse identify as an Indication that the client is experiencing a crisis?
Client isolates themselves from their family and friends
Client reports intermittent depressed mood
Client reports a decreased appetite
Client expresses an inability to experience pleasure
The Correct Answer is A
Choice A Reason:
Client isolates themselves from their family and friends. Isolating oneself from family and friends is an indication that the client is experiencing a crisis. Social withdrawal and isolation can be common responses to severe anxiety or a crisis situation. It suggests that the client is having difficulty coping with their anxiety or the stressor, and they may benefit from intervention and support.
Choice B Reason:
Reporting intermittent depressed mood may be indicative of a mood disorder but does not necessarily indicate a crisis.
Choice C Reason:
Reporting a decreased appetite can be a symptom of anxiety, but it is not specific to a crisis situation.
Choice D Reason:
Expressing an inability to experience pleasure is a symptom often associated with depression but does not provide specific information about the presence of a crisis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A Reason:
Loose stools are not a typical side effect of radiation therapy for throat cancer. Gastrointestinal side effects may occur, but they are more likely to involve symptoms such as nausea, diarrhea, or difficulty swallowing.
Choice B Reason:
Bladder infection is not directly related to radiation therapy for throat cancer. The side effects of radiation therapy typically pertain to the area being treated, such as the throat and surrounding tissues.
Choice C Reason:
Increased appetite is also not a common side effect of radiation therapy. Many clients may experience a decreased appetite or difficulty eating due to the side effects of radiation, such as mucositis (inflammation of the mouth and throat) or dysgeusia.
Choice D Reason:
Loss of taste is correct . Clients who receive external radiation therapy for throat cancer can experience various side effects due to the radiation's impact on the surrounding tissues. One common side effect is a loss of taste or changes in taste perception, which is known as dysgeusia. This occurs because radiation can damage taste buds and the salivary glands, leading to alterations in taste sensation. Clients may describe a metallic or bitter taste in their mouths or have difficulty tasting certain foods.
Correct Answer is B
Explanation
Choice A Reason:
"I might have occasional seizures for several days after the procedure." This statement is not accurate. ECT does induce a controlled seizure during the procedure, but clients typically do not experience seizures after the treatment. This statement does not indicate an understanding of the procedure.
Choice B Reason:
"I might have short-term memory loss after the procedure. “This statement is accurate. Memory loss is a common side effect of ECT, particularly short-term memory loss. It's important for the client to be aware of this potential side effect.
Choice C Reason:
"I will have a urinary catheter in place during the procedure." This statement is not accurate. A urinary catheter is not typically used during ECT. It's important for the client to have accurate information about the procedure.
Choice D Reason:
"I will need to follow a full-liquid diet for 24 hours after the procedure." This statement is not accurate. Clients undergoing ECT do not usually require a full-liquid diet afterward. The dietary restrictions may vary depending on the facility's policies, but it is not typically a full-liquid diet.
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