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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 D

Explanation

A. Personality disorder. Personality disorders are long-term patterns of behaviour and inner experiences that deviate significantly from the expectations of the individual's culture. The described behaviour is a specific pattern related to the time of day, not indicative of a personality disorder.
B. Dementia. While dementia is the underlying condition, the specific worsening of symptoms in the evening is known as sundowning syndrome. Dementia alone does not specify the time-related pattern of increased confusion and agitation.
C. Delirium. Delirium is an acute, often sudden change in cognition and attention, usually caused by an underlying medical condition or substance use. The described behavior follows a regular daily pattern, indicating a different issue.
D. Sundowning syndrome. Sundowning syndrome refers to increased confusion and agitation in the late afternoon and evening, commonly seen in individuals with Alzheimer's disease or other forms of dementia.

A. COPD B. Atelectasis C. Bronchitis D. Pneumonia

Correct Answer is D

Explanation

A. COPD: While COPD is a chronic condition that can be exacerbated by infections, it is not directly caused by decreased immune resistance.
B. Atelectasis: Atelectasis refers to the collapse of part of the lung, often due to surgery or immobility, rather than decreased resistance to infection.
C. Bronchitis: Bronchitis is an inflammation of the bronchi, which can be an issue, but pneumonia is more directly related to infection risk.
D. Pneumonia: Pneumonia is an infection of the lungs and older adults with decreased immune resistance are at increased risk for developing this condition

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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

A nurse is caring for an older adult who lives in a long-term care facility on the Alzheimer unit. Every evening around 5:00 p.m., the resident becomes increasingly agitated and more confused, a state that lasts throughout the evening. The nurse recognizes this behaviour as:

Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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