A college student has been diagnosed with Generalized Anxiety Disorder (GAD). Which of the following symptoms should a campus nurse expect this client to exhibit? Select all that apply.
Hyperventilation
Irritability
Anorexia
Insomnia
Fatigue
Correct Answer : A,B,D,E
Choice A: Hyperventilation
Hyperventilation is rapid breathing that usually occurs because of anxiety or panic. This leads to low levels of carbon dioxide in your blood which causes a number of symptoms. Hyperventilation in anxiety can be a tricky thing to understand. On one hand, it can feel like you're suffocating or not getting enough air. On the other hand, hyperventilation can also cause shortness of breath, chest pain, and lightheadedness.
Choice B: Irritability
Irritability is a common symptom of Generalized Anxiety Disorder (GAD). Individuals with GAD often experience severe feelings of fear and unease and report feeling restless and irritable that interfere with the quality of their life.

Choice C: Anorexia
While there is a relationship between anxiety disorders and anorexia nervosa, anorexia is not a common symptom of Generalized Anxiety Disorder (GAD). Anorexia nervosa is a separate disorder that involves a fear of gaining weight and a distorted body image.
Choice D: Insomnia
Insomnia is highly prevalent in psychiatric disorders, and it has significant implications. The anxiety that characterizes GAD often interferes with the ability to sleep and leads to insomnia. This is not unexpected. Anxiety might be viewed as an inappropriate escalation of a response called arousal.
Choice E: Fatigue
Fatigue is a common symptom of Generalized Anxiety Disorder (GAD). Individuals with GAD may feel restless and have trouble relaxing. They may also tire easily or feel tired all the time.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Forgetting people's names can be a symptom of both dementia and delirium, but it is more commonly associated with the progressive cognitive decline seen in dementia.
Choice B reason: Sudden onset of confusion after starting a new medication, such as an antidepressant, is indicative of delirium, which can be triggered by drug interactions or side effects.
Choice C reason: Increased tiredness and sleep could be associated with either condition but are not specific indicators that would distinguish delirium from dementia.
Choice D reason: A loss of interest in previously enjoyed activities is a symptom that can be seen in dementia as part of a gradual decline in engagement and is not specific to delirium.
Correct Answer is ["B","D","F"]
Explanation
Choice A reason: Increasing dietary fiber can help manage constipation, which is a common side effect of antipsychotic medications. The normal range for dietary fiber intake in adults is 25 to 30 grams per day from food, not supplements.
Choice B reason: Antipsychotic medications can increase photosensitivity, making the skin more susceptible to sunburn. Using sunscreen can help protect the skin when outdoors.
Choice C reason: While laxatives can be used to manage constipation, they should be used sparingly and only as needed to avoid dependence and potential electrolyte imbalances.
Choice D reason: Regular physical activity can help counteract weight gain, another potential side effect of antipsychotic medications. It's recommended to engage in at least 150 minutes of moderate-intensity exercise per week.
Choice E reason: Doubling the dose at the next scheduled time for missed doses is not recommended as it can lead to an overdose and exacerbate side effects.
Choice F reason: Drinking plenty of fluids, including fruit juice, can help prevent dehydration. However, it's important to monitor sugar intake from fruit juices due to the risk of weight gain.
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