What is a possible outcome criterion for a client diagnosed with anxiety disorder?

Client demonstrates effective coping strategies

Client reports reduced hallucinations

Client demonstrates persistent avoidance behaviors

Client reports feelings of tension and fatigue.

Answer and Explanation

The Correct Answer is A

A. A key outcome criterion for clients with anxiety disorder is the ability to demonstrate effective coping strategies, such as relaxation techniques or problem-solving, to manage anxiety.

B. Reduced hallucinations would be a goal for a client with a psychotic disorder, not an anxiety disorder.

C. Persistent avoidance behaviors would indicate that the client’s anxiety is not being effectively managed.

D. Feelings of tension and fatigue are common symptoms of anxiety and would not be considered an appropriate outcome for treatment.

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Correct Answer is A

Explanation

A. The sympathetic nervous system is responsible for the "fight or flight" response, which is triggered during times of anxiety, stress, or fear. It increases heart rate, blood pressure, and prepares the body to respond to perceived threats, which aligns with the client's severe anxiety going to work.

B. The limbic system plays a role in emotion and memory but is not directly responsible for the physiological changes associated with anxiety.

C. The parasympathetic nervous system is responsible for "rest and digest" functions, counteracting the sympathetic nervous system’s responses during relaxation, not during anxiety.

D. The vagus nerve is part of the parasympathetic system and is not primarily responsible for the acute anxiety response.

A. Administer the morning dose of lithium. B. Check the client's medication record to assess whether the client has been refusing her lithium. C. Prepare for gastric lavage due to an extremely elevated lithium level. D. Hold the medication and assess for early manifestations of toxicity.

Correct Answer is A

Explanation

A. A lithium level of 1.0 mEq/L is within the therapeutic range (0.6 to 1.2 mEq/L). The nurse should administer the morning dose of lithium as prescribed.

B. While it is important to monitor for medication adherence, there is no indication from the current lithium level that this client is refusing the medication.

C. Gastric lavage is unnecessary, as the lithium level is not elevated enough to warrant this extreme intervention.

D. Early signs of lithium toxicity typically occur with levels above 1.5 mEq/L. Since the level is 1.0 mEq/L, the nurse should proceed with administering the medication.

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What is a possible outcome criterion for a client diagnosed with anxiety disorder?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who experiences severe anxiety when going to work. The nurse should identify that which of the following areas of the autonomic nervous system is stimulated when the client goes to work?

Correct Answer is A

Explanation

A nurse in an acute care mental health facility is preparing to administer morning medication for a client who has been taking lithium for 2 weeks and has a current lithium level of 1.0 mEq/L. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

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