When assessing a client with anxiety, the nurse's questions should be:
Avoided until the anxiety is gone.
Specific and direct.
Open-ended.
Postponed until the client volunteers information.
The Correct Answer is B
Choice A reason: Avoiding questions until anxiety is gone delays assessment and intervention. Anxiety often requires immediate evaluation to determine severity, triggers, and safety concerns.
Choice B reason: Specific and direct questions are most effective because clients with anxiety may have difficulty concentrating, organizing thoughts, or processing complex information. Direct questioning reduces cognitive load and ensures accurate assessment.
Choice C reason: Open-ended questions can overwhelm anxious clients, leading to frustration or inability to respond. While useful in other contexts, they are not ideal during acute anxiety.
Choice D reason: Postponing questions until the client volunteers information risks missing critical data. Clients may not spontaneously share important details due to fear, avoidance, or impaired concentration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: While stress can influence symptom severity, somatic symptom illness is not simply intermittent control. This explanation is incomplete and misleading.
Choice B reason: Stating there is a physical cause misinforms the family. Somatic symptom illness is psychological in origin, not undetected physical disease.
Choice C reason: Suggesting the client is fabricating symptoms is inaccurate and stigmatizing. The symptoms are real to the client, even if not physically caused.
Choice D reason: Mental distress manifests as physical symptoms in somatic symptom illness. The client is not consciously aware of the psychological origin, making this the most accurate and therapeutic explanation.
Correct Answer is ["A","D"]
Explanation
Choice A reason: Personality disorders are a recognized risk factor for generalized anxiety disorder (GAD). Clients with maladaptive personality traits such as perfectionism, dependency, or avoidant tendencies are more prone to chronic worry and anxiety. These traits interfere with coping mechanisms and increase vulnerability to persistent anxiety symptoms.
Choice B reason: Anorexia nervosa is an eating disorder characterized by restrictive eating and distorted body image. While anxiety can coexist with anorexia, it is not considered a direct risk factor for GAD. The primary pathology in anorexia is related to eating behaviors and body image rather than generalized worry.
Choice C reason: Schizophrenia is a psychotic disorder involving hallucinations, delusions, and disorganized thinking. It is not a risk factor for GAD. Although anxiety can occur in schizophrenia, the two conditions are distinct and schizophrenia does not predispose someone to generalized anxiety disorder.
Choice D reason: Substance abuse is a major risk factor for GAD. Substances such as alcohol, stimulants, and sedatives can alter brain chemistry, impair coping mechanisms, and trigger or worsen anxiety symptoms. Withdrawal from substances also contributes to heightened anxiety, making substance abuse a strong risk factor.
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