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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D"]
Explanation
Choice A Reason:
Seizures are a serious and potentially life-threatening symptom of alcohol withdrawal. They can occur as a result of the sudden cessation of alcohol intake, especially in individuals with a long history of heavy use. The risk of seizures is highest in the first 48 hours after the last drink.
Choice B Reason:
Tachycardia, or rapid heart rate, is a common symptom of alcohol withdrawal. It is part of the body's sympathetic nervous system response to the stress of withdrawal. Monitoring and managing tachycardia is important to prevent complications.
Choice C Reason:
Hallucinations, particularly visual hallucinations, can occur during alcohol withdrawal. These hallucinations are typically transient and may occur in the absence of other delirium symptoms. They are a component of the alcohol withdrawal syndrome.
Choice D Reason:
Tremors are one of the earliest signs of alcohol withdrawal and are often referred to as "the shakes." They are caused by the nervous system adjusting to the absence of alcohol. Tremors usually begin within 5 to 10 hours after the last alcohol intake and can worsen over the next 48 to 72 hours.
Choice E Reason:
Hypotension is not typically a primary symptom of alcohol withdrawal. In fact, blood pressure may initially rise during withdrawal. However, if severe withdrawal leads to dehydration or other complications, hypotension could potentially occur.
Correct Answer is B
Explanation
Negative symptoms of schizophrenia are those that reflect a decrease or loss of normal functions. In the context of schizophrenia, waxy flexibility is a negative symptom where the patient exhibits decreased response to stimuli and a tendency to remain in an immobile, fixed posture. Patients with waxy flexibility may maintain whatever position they are placed in, which can be sustained for long periods.
Choice A: Bizarre behavior
Bizarre behavior is considered a positive symptom of schizophrenia. It includes unusual or odd actions that are not typically seen in healthy individuals. This can manifest as inappropriate or unpredictable behavior and is an excess or distortion of normal functions.
Choice B: Waxy flexibility
This is the correct answer. Waxy flexibility is a negative symptom of schizophrenia. It is characterized by a decrease in voluntary movement and an increase in passive obedience in maintaining a posture or position. It is not a productive symptom but rather a lack of normal behavior.
Choice C: Somatic delusions
Somatic delusions are a type of delusion that is classified as a positive symptom of schizophrenia. These delusions involve false beliefs about the body, such as thinking one has a serious disease or infestation when no medical evidence supports this.
Choice D: Illogicality
Illogicality is also a positive symptom of schizophrenia. It refers to a pattern of thinking that is disorganized and lacks the logical flow of thoughts. This can result in speech and behaviors that are difficult to understand and follow.
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