A 35-year-old client tells the nurse that they have been worried and tearful lately because of pressures at work. The client states, "My partner tells me that it's 'stress' and 'anxiety,' but doesn't everyone have that? What is anxiety anyway?" Which response would be most appropriate for the nurse to provide about the nature of anxiety?

Anxiety is a normal response to everyday stress.

Anxiety is an abnormal response to everyday stress.

Anxiety is a physiological response to stress.

Anxiety is a sense of psychological distress.

Answer and Explanation

The Correct Answer is D

Choice A reason: This choice is incorrect. While anxiety can be a normal response to stress, the context implies that the client is experiencing more than a typical reaction.
Choice B reason: This choice is incorrect. Anxiety is not necessarily an abnormal response; it can occur in normal situations but becomes problematic when excessive.
Choice C reason: This choice is incorrect. While anxiety does have physiological components, the question seems to be asking about the experiential nature of anxiety.
Choice D reason: This is the correct choice. Anxiety is indeed a sense of psychological distress that can be triggered by stress but is characterized by excessive worry, fear, or apprehension.

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Correct Answer is D

Explanation

Choice A reason: Listening to music is generally considered a positive activity and not something to be avoided during recovery.
Choice B reason: Exercise is beneficial for mental health and is encouraged during recovery from substance use disorder.
Choice C reason: Reading can be a relaxing activity that does not typically trigger anxiety or cravings.
Choice D reason: This is the correct choice. Meeting up with old friends, especially those associated with past substance use, can be a significant trigger for relapse.

A. The medication will help your spouse sleep beter at night and stay awake during the day. B. This will not result in any improvements to the client's symptoms of dementia, but it will make the client much more compliant and easier to manage. C. It is important to closely follow the administration schedule for this drug if it is to help your spouse. D. The medication won't cure your spouse's dementia, but it has the potential to slow down the progression of the disease.

Correct Answer is D

Explanation

Choice A reason: This choice is incorrect. While some medications may help improve sleep paterns, they are not primarily used to regulate sleep in dementia patients.
Choice B reason: This choice is incorrect. Medications for dementia aim to improve symptoms and quality of life, not just to make patients more compliant.

Choice C reason: This choice is misleading. While following the administration schedule is important, it does not guarantee recovery since dementia is currently incurable.

Choice D reason: This is the correct choice. Medications for dementia, such as cholinesterase inhibitors and memantine, may help slow the progression of symptoms.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client recovering from a substance use disorder reports feelings of anxiety. Which activity would the nurse recommend to avoid?

Correct Answer is D

Explanation

The geriatrician has prescribed medication for an 80-year-old client to treat the client's dementia. Which teaching points should the nurse provide to the client's spouse about the new medication?

Correct Answer is D

Explanation

A child with atention deficit hyperactivity disorder (ADHD) is prescribed medication. The parent reports that the child is having trouble sleeping. Which question would be most appropriate for the nurse to ask?

Safety is the nursing priority for a client who is at risk for alcohol withdrawal. A care plan for the client who is in withdrawal must include which nursing interventions?

A nursing student is preparing to care for a client diagnosed with schizophrenia. When interacting with the client, the student notices that the client is highly suspicious and guarded, stating, "They're out to get me." The student identifies this as what?

A client who suﬀers from bipolar disorder is admited to a mental health unit for a manic episode. Which statement by the client supports this diagnosis?

A psychiatric-mental health nurse is conducting an educational session for families of clients diagnosed with obsessive-compulsive disorder (OCD). What components should the nurse teach the families of clients diagnosed with OCD?

Which goal is appropriate for the client being treated for obsessive-compulsive disorder with response prevention therapy?

The nurse is caring for an assigned group of clients. Which client does the nurse identify as being at the highest risk for the development of delirium and will be closely monitored?

An adolescent is being observed for atention deficit hyperactivity disorder (ADHD). Which circumstance would demonstrate evidence to support this diagnosis?