A nurse on a mental health unit is leading a group therapy session for a group of clients. Which of the following statements should the nurse expect from a client who has an anxiety disorder?

"I check my breasts for lumps every day, but I'm still really scared about getting breast cancer."

"I have had several negative pregnancy tests, but I know they are all wrong."

"I double-check my pills because I think the pharmacist may be putting poison in them."

"I feel really nervous when my partner goes to work, and I am home alone during the day."

Answer and Explanation

The Correct Answer is A

A reason: "I check my breasts for lumps every day, but I'm still really scared about getting breast cancer." This statement reflects excessive worry and fear, which are characteristic of an anxiety disorder. The client's behavior of frequent checking and ongoing fear is consistent with health-related anxiety.

B reason: "I have had several negative pregnancy tests, but I know they are all wrong." This statement suggests a possible delusion, which is more indicative of a psychotic disorder rather than an anxiety disorder.

C reason: "I double-check my pills because I think the pharmacist may be putting poison in them." This statement indicates paranoia, which is more characteristic of a psychotic disorder rather than an anxiety disorder.

D reason: "I feel really nervous when my partner goes to work, and I am home alone during the day." While this statement reflects anxiety, it is less specific to an anxiety disorder and could be associated with general situational stress. The first statement better captures the ongoing, irrational fear typical of anxiety disorders.

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Correct Answer is B

Explanation

A reason: A client who has a new diagnosis of major depressive disorder. While clients with major depressive disorder need support, ACT is typically designed for clients with severe and persistent mental illnesses who require intensive, ongoing care.

B reason: A client who has repeated acute care admissions due to schizophrenia. Clients with schizophrenia who have frequent hospitalizations and difficulty managing their illness benefit from ACT. This program provides comprehensive, community-based care and support to reduce hospitalizations and improve quality of life.

C reason: A client who has requested family therapy following the death of a family member. Family therapy is more appropriate for addressing grief and loss. ACT is not typically indicated for clients dealing primarily with bereavement.

D reason: A client who has physical injuries following an incident of partner violence. Clients who have experienced partner violence may need crisis intervention, medical care, and counseling. ACT is not the primary referral for this situation unless the client also has a severe mental illness requiring intensive support.

A. Slow speech. B. Rapid mood changes. C. Hallucinations. D. Unaltered level of consciousness. E. Restlessness.

Correct Answer is ["B","C","E"]

Explanation

A reason: Slow speech. Slow speech is not typically associated with delirium. Clients with delirium often exhibit rapid and disorganized speech rather than slowed speech patterns.

B reason: Rapid mood changes. Rapid mood changes are common in delirium. Clients may quickly shift from calm to agitated or from happy to irritable, reflecting the fluctuating nature of their cognitive status.

C reason: Hallucinations. Hallucinations, particularly visual or auditory, are a common symptom of delirium. Clients may see or hear things that are not present, contributing to their confusion and distress.

D reason: Unaltered level of consciousness. Delirium is characterized by altered levels of consciousness, not unaltered. Clients may experience fluctuating alertness, from drowsiness to hyperactivity.

E reason: Restlessness. Restlessness and agitation are hallmark symptoms of delirium. Clients may become physically restless, unable to sit still, and exhibit purposeless movements.

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A nurse on a mental health unit is leading a group therapy session for a group of clients. Which of the following statements should the nurse expect from a client who has an anxiety disorder?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is ["B","C","E"]

Explanation

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