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 C

Explanation

A reason: SSRIs are more effective in relieving manifestations. Both SSRIs and TCAs are effective in treating depression, but SSRIs are generally preferred due to their more favorable side effect profile. Effectiveness can vary among individuals, so this statement is not a significant differentiator.

B reason: SSRIs produce a more sedative effect. SSRIs are generally less sedating than TCAs. TCAs are known for their sedative properties and are often prescribed for clients who need help with insomnia related to depression.

C reason: TCAs are lethal in overdose. One major difference between TCAs and SSRIs is the toxicity level in overdose. TCAs can be lethal in overdose due to their cardiotoxic effects, making them more dangerous compared to SSRIs, which have a lower risk of toxicity.

D reason: TCAs have fewer cardiovascular effects. TCAs have more cardiovascular side effects, such as arrhythmias and orthostatic hypotension, compared to SSRIs. This statement is incorrect as TCAs are associated with higher cardiovascular risks.

A. Document the client's behavior once every hour. B. Keep the client in restraints until the prescription expires. C. Conduct a debriefing regarding the client with the unit staff. D. Request an evaluation of the client within 12 hours of application of restraints.

Correct Answer is C

Explanation

A reason: Document the client's behavior once every hour. While documenting the client's behavior is important, it should be done more frequently than once every hour. Monitoring should be continuous to ensure the client's safety.

B reason: Keep the client in restraints until the prescription expires. Restraints should be used for the shortest duration necessary to ensure safety, not just until the prescription expires. Regular assessments are needed to determine if they can be removed earlier.

C reason: Conduct a debriefing regarding the client with the unit staff. Debriefing with the unit staff helps ensure everyone is informed about the client's condition, the reasons for using restraints, and the plan for ongoing care. This promotes a team approach to managing the client's behavior.

D reason: Request an evaluation of the client within 12 hours of application of restraints. An evaluation should be conducted much sooner than 12 hours, typically within an hour of applying restraints, to assess the client's physical and mental status and determine if continued use is justified.

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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 C

Explanation

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Correct Answer is C

Explanation

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