A nurse is planning care for a client who is taking benztropine to reduce extrapyramidal manifestations developed secondary to taking an antipsychotic medication. For which of the following adverse effects of benztropine should the nurse monitor?

Choice A reason: Selective inattention occurs in moderate anxiety, where the client begins to block out or ignore certain stimuli due to difficulty focusing. It is not characteristic of mild anxiety, where awareness is still intact.

Choice B reason: Urinary frequency is a physical manifestation of severe anxiety due to autonomic nervous system activation. It is not expected in mild anxiety.

Choice C reason: Sharpened perceptions are characteristic of mild anxiety. The client is more alert, attentive, and able to focus better on the environment. Mild anxiety can enhance problem-solving and concentration.

Choice D reason: Voice tremors are associated with moderate to severe anxiety, where physiological symptoms become more pronounced. They are not typical of mild anxiety.

Choice A reason: In voluntary admission, the client retains the right to request discharge. They are not confined until the provider discharges them unless they are deemed unsafe, in which case the admission may be converted to involuntary. Therefore, this statement is inaccurate.

Choice B reason: Voluntary admission does not remove the client’s right to refuse treatment. Clients must still consent to interventions, and refusal must be respected unless there is a legal order or emergency situation.

Choice C reason: Informed consent is a fundamental principle of patient rights. Even after voluntary admission, the client must be educated about proposed treatments, risks, and alternatives, and must agree before interventions are carried out. This ensures autonomy and ethical care.

Choice D reason: Providers are not required to notify employers of a client’s admission. Confidentiality laws protect patient privacy, and disclosure without consent would violate ethical and legal standards.