What manifestations might a nurse at a walk-in mental health clinic recognize in a client experiencing severe anxiety?

Attention-seeking conduct

Aggressive behavior

Mild fidgeting

Mild difficulty problem-solving

Answer and Explanation

The Correct Answer is C

Choice A reason:

Attention-seeking conduct is not typically a manifestation of severe anxiety. While individuals may exhibit behaviors that draw attention in an attempt to alleviate their distress, it is not a direct symptom of anxiety itself. Attention-seeking may be associated with other psychological conditions or may be a response to feeling neglected or ignored.

Choice B reason:

Aggressive behavior can sometimes be seen in individuals with severe anxiety, particularly if they feel trapped or overwhelmed. However, it is not as common as other manifestations. Aggression may also stem from a variety of other factors, including personality disorders, mood disorders, or situational stressors, rather than anxiety alone.

Choice C reason:

Mild fidgeting is a common manifestation of severe anxiety. Anxiety can cause a surplus of energy and nervousness that manifests physically as fidgeting, such as tapping feet, playing with hands, or shifting positions frequently. This physical manifestation is a direct result of the body's fight-or-flight response, which prepares the individual to either confront or flee from perceived threats.

Choice D reason:

Mild difficulty problem-solving can occur in individuals with severe anxiety due to the overwhelming nature of their thoughts and feelings. Anxiety can disrupt cognitive processes, making it challenging to concentrate and think clearly. However, this is a broader cognitive effect of anxiety rather than a specific behavioral manifestation.

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Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"D"}

Explanation

The correct answer is: B and D.

Choice A: Heart Failure

Heart failure is a potential complication of anorexia nervosa due to malnutrition and electrolyte imbalances, which can affect cardiac function. However, the client’s current diagnostic results do not directly indicate heart failure. The blood pressure and heart rate are low but not critically so, and there are no specific cardiac markers or symptoms mentioned that would suggest imminent heart failure.

Choice B: Renal Failure

Renal failure is a significant risk for this client. The elevated BUN (31 mg/dL) and creatinine (3.0 mg/dL) levels indicate impaired kidney function. These values are well above the normal ranges (BUN: 10-20 mg/dL, creatinine: 0.5-1.0 mg/dL), suggesting that the kidneys are not effectively filtering waste products from the blood. This is consistent with renal failure, which can be exacerbated by dehydration and electrolyte imbalances common in anorexia nervosa.

Choice C: Hypomagnesemia

Hypomagnesemia refers to low magnesium levels in the blood. The client’s magnesium level is 2.2 mEq/L, which is within the normal range (1.3-2.1 mEq/L). Therefore, hypomagnesemia is not a current risk for this client based on the provided lab results.

Choice D: Hypothyroidism

Hypothyroidism is a condition where the thyroid gland does not produce enough thyroid hormones. The client’s free thyroxine (T4) level is 0.4 ng/dL, which is below the normal range (0.8-2.8 ng/dL). This indicates hypothyroidism, which can cause symptoms such as fatigue, weight gain, and depression78. Given the client’s history of anorexia nervosa and the current lab results, hypothyroidism is a significant risk.

A. "You will need your blood levels drawn weekly during the first month." B. "You will need to stop this medication if you develop severe diarrhea." C. "You will need to take this medication on an empty stomach." D. "You will need to consume a low-salt diet while on this medication."

Correct Answer is A

Explanation

Choice A Reason:

Monitoring blood levels of lithium is essential, especially during the initial phase of treatment. Lithium has a narrow therapeutic range, and its levels can fluctuate based on several factors, including diet, hydration, and renal function. Regular blood tests help ensure that the lithium concentration stays within the therapeutic range, preventing toxicity or subtherapeutic dosin.

Choice B Reason:

While it is important to monitor for side effects such as severe diarrhea, stopping the medication abruptly without consulting a healthcare provider is not recommended. Severe diarrhea can affect lithium absorption and lead to dehydration, which may necessitate a dosage adjustment rather than complete cessation.

Choice C Reason:

Lithium is typically taken with meals to reduce gastrointestinal side effects, not on an empty stomach. Taking lithium on an empty stomach can increase the risk of nausea, diarrhea, and other gastrointestinal issues.

Choice D Reason:

Patients on lithium are advised to maintain a consistent intake of sodium. A low-salt diet can lead to increased lithium retention, which can increase the risk of toxicity. Therefore, patients should not consume a low-salt diet unless advised by their healthcare provider for other medical reasons.

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What manifestations might a nurse at a walk-in mental health clinic recognize in a client experiencing severe anxiety?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medical record of a client. Exhibits Drag words from the choices below to fill in each blank in the following sentence. The client is at risk for developing dropdown and dropdown.

Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"D"}

Explanation

Choice A: Heart Failure

Choice B: Renal Failure

Choice C: Hypomagnesemia

Choice D: Hypothyroidism

A nurse is preparing to teach a client about the prescription of lithium (Eskalith) for the treatment of bipolar disorder. Which of the following statements should the nurse include in the teaching?

Correct Answer is A

Explanation

The nurse is caring for a client diagnosed with severe intellectual disability. Which of the following characteristics should the nurse recognize to be associated with severe intellectual disability?

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