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The nurse is assessing a nervous 18-year-old patient who has vital signs of P 120, R 30, and BP 160/90. The patient states that he feels something bad is about to happen. Based on this data alone, how should the nurse identify the patient's level of anxiety?

Moderate

Panic

Mild

Severe

Answer and Explanation

The Correct Answer is D

A. Moderate: Moderate anxiety typically involves increased alertness and focus, not severe physiological changes.

B. Panic: Panic is characterized by extreme dread and inability to function, often with a sense of unreality.

C. Mild: Mild anxiety involves slight discomfort and can enhance learning and performance.

D. Severe: Severe anxiety includes significant physiological responses (elevated vital signs) and a sense of impending doom.

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Correct Answer is B

Explanation

A. 3 hours: Withdrawal symptoms usually do not appear as soon as 3 hours after cessation.
B. 6 hours: Alcohol withdrawal symptoms typically begin 6 to 12 hours after the last drink.
C. 4 hours: This is slightly early for the typical onset of withdrawal symptoms.
D. 5 hours: While close, the more common range is around 6 hours.

A. Obsessive-compulsive B. Anxiety tension C. Controlled repetition D. Senseless behavior

Correct Answer is A

Explanation

A. Obsessive-compulsive: This behavior involves persistent, intrusive thoughts (obsessions) and repetitive behaviors (compulsions) aimed at reducing anxiety, fitting the definition of obsessive-compulsive disorder.

B. Anxiety tension: Anxiety tension is a broader term and does not specifically address the repetitive checking behavior seen in obsessive-compulsive disorder.

C. Controlled repetition: This term is not commonly used to describe a specific psychological condition related to repeated behaviors due to obsessive thoughts.

D. Senseless behavior: The behavior is not senseless but is driven by anxiety and obsessive-compulsive tendencies.

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The nurse is assessing a nervous 18-year-old patient who has vital signs of P 120, R 30, and BP 160/90. The patient states that he feels something bad is about to happen. Based on this data alone, how should the nurse identify the patient's level of anxiety?

Nursing Test Bank

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Correct Answer is B

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