A 28-year-old client is admitted to the psychiatric unit following a motor vehicle accident. The client reports experiencing recurrent flashbacks, intrusive thoughts, and hypervigilance. The nurse suspects the client is experiencing symptoms of PTSD. Which assessment finding further supports this suspicion?

Binge eating and weight gain

Nightmares, difficulty concentrating, and irritability

Purging the last meal

Decreased energy and fatigue

Answer and Explanation

The Correct Answer is B

A. Binge eating and weight gain are more commonly associated with eating disorders or other psychological conditions, not PTSD.

B. Nightmares, difficulty concentrating, and irritability are key symptoms of PTSD, reflecting the psychological impact of trauma. These are consistent with the intrusive and arousal symptoms associated with PTSD.

C. Purging is associated with eating disorders, not PTSD.

D. Decreased energy and fatigue are common symptoms of depression, not specifically indicative of PTSD, although they can be seen in both conditions.

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Correct Answer is B

Explanation

A. Chills are not a common symptom of moderate anxiety; they are more likely to occur with fever or cold exposure.

B. Anxiety often leads to physical symptoms such as urinary frequency due to increased sympathetic nervous system activity.

C. Rapid speech can occur with anxiety, but it is more commonly seen in severe anxiety, not moderate anxiety.

D. A distorted perceptual field is more typical of severe anxiety or panic attacks, not moderate anxiety.

A. Ineffective coping B. Risk for impaired parenting C. Anxiety D. Risk for self-harm

Correct Answer is D

Explanation

A. Ineffective coping is important but secondary to addressing the immediate safety of the client.

B. While impaired parenting is a concern, the safety of the mother takes precedence over her ability to care for her child.

C. Anxiety is a symptom but does not pose as immediate a threat to the client’s well-being as the risk of self-harm.

D. Feelings of hopelessness in a mother diagnosed with postpartum depression can indicate a risk for self-harm or suicide. The priority is to ensure the client's safety, as these feelings are a critical sign of potential harm to themselves.

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Naxlex Comprehensive Predictor Exams

A nurse on the psychiatric unit is assessing a client who has moderate anxiety disorder. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

A mother (G1 P1 T1 PO AO L1) diagnosed with postpartum depression expresses feelings of hopelessness. Which nursing diagnosis is the priority?

Correct Answer is D

Explanation

A nurse in the emergency department is caring for a client who reports chest pain, headache, and shortness of breath. He continues to state, "I don't know why my wife left me." The client receives a diagnosis of anxiety. The nurse realizes the client's findings support which level of anxiety?

A nurse is caring for a client who has bipolar disorder and is taking lithium. The client reports blurred vision and ataxia. Which of the following actions should the nurse take?

A nurse is caring for a client who has bipolar disorder and is in the manic phase. The client says he is bored. Which of the following activities is appropriate for the nurse to suggest to this client?

A nurse is caring for a newly admitted client who has obsessive-compulsive disorder (OCD). Which of the following actions should the nurse take first?

A nurse is teaching a client who has a new prescription for lithium to treat bipolar disorder. The nurse should instruct the client to ensure an adequate intake of which of the following dietary elements?

A nurse is preparing to administer lithium 300 mg PO every 8 hr. Available is lithium carbonate 150 mg capsules. How many capsules should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is caring for a client who has bipolar disorder. Which of the following actions by the client should the nurse interpret as displaying manic behavior? (Select all that apply.)