A nurse on an inpatient mental health unit is caring for a client who is experiencing panic level anxiety.
Which of the following findings should the nurse expect?.
Shakiness
Depersonalization.
Voice tremors.
Poor concentration.
The Correct Answer is B
B)Depersonalization: Depersonalization, which involves feeling detached from one's own body or thoughts, is a key symptom of panic-level anxiety. It occurs when the client feels as though they are observing themselves from outside their body or disconnected from reality, often as a coping mechanism to manage the intense distress experienced during a panic attack.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Families where caregivers have college degrees or higher are often more stable and provide a nurturing environment, which is a protective factor against adverse childhood experiences.
Choice B rationale:
Children who don’t feel close to their guardians and don’t feel like they can talk to them about their feelings are at a higher risk of developing mental health disorders.
Choice C rationale:
Families that include young caregivers or single parents often face more stress and instability, which can increase the risk of adverse childhood experiences.
Choice D rationale:
Families that are isolated from other people, such as extended family, friends, and neighbors, often lack social support, which can increase the risk of adverse childhood experiences.
Correct Answer is A
Explanation
Choice A rationale:
If a client states that they do not want to live anymore and plans to end their life, the nurse should ask the client about the lethality of their plan. This can help the nurse assess the immediate risk and determine the appropriate level of intervention.
Choice B rationale:
While it’s important to encourage clients to focus on the positive aspects of life, this should not be the first response when a client expresses suicidal ideation. The priority is to assess the risk and ensure the client’s safety.
Choice C rationale:
Reassuring the client that everything is going to work out may seem helpful, but it can also minimize the client’s feelings and potentially make them feel misunderstood. The priority is to assess the risk and ensure the client’s safety.
Choice D rationale:
Allowing the client time alone to self-reflect is not the appropriate action when a client expresses suicidal ideation. The client should not be left alone, as they may be at risk of self-harm.
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