A symptom commonly associated with panic attacks?

Fear of impending doom

Obsessions

Apathy

Fever

Answer and Explanation

The Correct Answer is A

A. A common symptom of panic attacks is the intense feeling of fear of impending doom, which can overwhelm the individual during an attack. The client may feel like something catastrophic is going to happen, even if no actual threat exists.

B. Obsessions are more commonly associated with obsessive-compulsive disorder (OCD), not panic attacks.

C. Apathy, or lack of emotion or interest, is typically not associated with panic attacks but may be seen in depression or certain other mental health conditions.

D. Fever is not a symptom of panic attacks but could be indicative of an infection or illness.

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Correct Answer is D

Explanation

A. Ineffective coping is important but secondary to addressing the immediate safety of the client.

B. While impaired parenting is a concern, the safety of the mother takes precedence over her ability to care for her child.

C. Anxiety is a symptom but does not pose as immediate a threat to the client’s well-being as the risk of self-harm.

D. Feelings of hopelessness in a mother diagnosed with postpartum depression can indicate a risk for self-harm or suicide. The priority is to ensure the client's safety, as these feelings are a critical sign of potential harm to themselves.

A. Isolate the client for a period of time. B. Set strict limits on the behaviors so that the client can conform to the unit rules and schedules. C. Confront the client about the senseless nature of the repetitive behaviors. D. Plan the client's schedule to allow time for rituals.

Correct Answer is D

Explanation

A. Isolating the client is not appropriate, as it can increase anxiety and exacerbate the compulsive behaviors.

B. Setting strict limits can lead to increased anxiety and resistance, making it harder to manage the compulsive behaviors.

C. Confronting the client about the senselessness of their compulsions can increase anxiety and worsen the behavior. It is more helpful to provide a supportive environment that allows for the rituals, gradually decreasing their frequency and intensity.

D. Clients with OCD often perform compulsive rituals to reduce anxiety. Planning time for rituals helps to manage the behavior while maintaining the therapeutic structure and routine on the unit.

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A symptom commonly associated with panic attacks?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A mother (G1 P1 T1 PO AO L1) diagnosed with postpartum depression expresses feelings of hopelessness. Which nursing diagnosis is the priority?

Correct Answer is D

Explanation

A nurse in a mental health facility is planning care for a client who has obsessive-compulsive disorder (OCD) and is newly admitted to the unit. Which of the following actions should the nurse plan to take regarding the client's compulsive behaviors?

Correct Answer is D

Explanation

A nurse is caring for a client who is experiencing excessive anxiety and worry in response to a variety of circumstances, and is unable to control their sense of worry. The nurse should identity that these manifestations indicate which of the following?

A client is to receive enoxaparin 30 mg subcutaneously. Available is enoxaparin 40 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse on the psychiatric unit is assessing a client who has moderate anxiety disorder. Which of the following findings should the nurse expect?

The nurse is preparing to transfer a client from the post-anesthesia care unit (PACU). Which assessment findings would delay the transfer of the client? (Select All that Apply.)

A nurse is preparing to administer lithium 300 mg PO every 8 hr. Available is lithium carbonate 150 mg capsules. How many capsules should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse in an acute mental health unit is admitting a client who has bipolar disorder. Which of the following findings supports the admitting diagnosis of acute mania?

A nurse in a hospital is caring for a client who has agoraphobia. Which of the following statements by the client indicates understanding of the goals of treatment?