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."
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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Related Questions
Correct Answer is C
Explanation
A reason: "These clients can receive packages after they are privately inspected by security." While security measures might be in place for the safety of all clients, it does not address a fundamental right of involuntarily admitted clients.
B reason: "These clients cannot be considered for a research study." Involuntarily admitted clients can be considered for research studies, but participation must be voluntary, and informed consent is required.
C reason: "These clients can vote in local and federal elections." Clients who are involuntarily admitted retain their civil rights, including the right to vote in local and federal elections. This statement accurately reflects their rights.
D reason: "These clients cannot refuse their prescribed antipsychotic medications." Involuntarily admitted clients retain the right to refuse medication, except in specific situations where they are deemed a danger to themselves or others, and legal protocols are followed.
Correct Answer is D
Explanation
A reason: A client who has new-onset depression. While assertiveness training can be beneficial for clients with depression, it may not be the most immediate need for someone with new-onset depression. Initial treatment should focus on managing depressive symptoms.
B reason: A client who is experiencing auditory hallucinations. Clients experiencing active psychotic symptoms, such as auditory hallucinations, may have difficulty engaging in and benefiting from assertiveness training. Stabilizing their symptoms is the priority.
C reason: A client who is experiencing mania. Clients in a manic state may struggle to focus and participate effectively in assertiveness training. Managing manic symptoms is the primary concern for these individuals.
D reason: A client who has somatic symptom disorder. Clients with somatic symptom disorder often struggle with expressing their needs and feelings assertively. Assertiveness training can help them communicate more effectively and reduce the psychological distress associated with their physical symptoms.
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