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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 C

Explanation

A. Conversion: Conversion involves a psychological conflict being expressed as physical symptoms, which does not fit the patient's response.

B. Repression: Repression involves unconsciously blocking out unpleasant thoughts or memories, which is not evident in the patient’s response.

C. Denial: Denial involves refusing to accept reality or facts, which fits the patient’s statement that the candy won’t affect their blood sugar levels.

D. Regression: Regression involves reverting to earlier developmental stages or behaviors, which does not apply to this situation.

A. Bipolar disorder B. Dysthymic disorder C. Hypomanic episode D. Unipolar depression

Correct Answer is A

Explanation

A. Bipolar disorder: The described behavior of extreme mood swings (elevated mood followed by significant depression) is characteristic of bipolar disorder.

B. Dysthymic disorder: Dysthymic disorder (now known as persistent depressive disorder) involves a chronic state of depression but does not typically feature such pronounced mood swings.

C. Hypomanic episode: A hypomanic episode would involve elevated mood but would not usually be followed by the severe depressive episode described.

D. Unipolar depression: Unipolar depression is characterized by a persistent low mood rather than the dramatic shifts described.

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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

Naxlex Comprehensive Predictor Exams

After finding the patient with diabetes eating candy, the nurse reminds the patient that the candy will elevate blood sugar levels. The patient's response is: "It's only a little bit, and it won't do anything." Which defense mechanism is the patient using?

Correct Answer is C

Explanation

Correct Answer is A

Explanation

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