A mental health nurse is assessing a client who has generalized anxiety disorder. Which of the following findings should the nurse expect?
Obsession over a fictitious defect in physical appearance.
Constant worry about the undiagnosed presence of an illness.
Sudden unexplained loss of vision without a physical medical explanation.
Prior physical health followed by the need for two surgeries within the last three months.
The Correct Answer is B
Choice A rationale:
Obsession over a fictitious defect in physical appearance is characteristic of body dysmorphic disorder, not generalized anxiety disorder (GAD).
Individuals with body dysmorphic disorder become preoccupied with an imagined or slight defect in their appearance, often to the point of significant distress and impairment in functioning.
They may engage in excessive grooming behaviors, repeatedly check their appearance in mirrors, or avoid social situations due to their appearance concerns.
While individuals with GAD may also experience concerns about their physical appearance, these concerns are typically not as severe or pervasive as those seen in body dysmorphic disorder.
Choice B rationale:
Constant worry about the undiagnosed presence of an illness is a hallmark feature of GAD.
Individuals with GAD often experience excessive worry about a variety of things, including health, finances, relationships, and work.
This worry is often accompanied by physical symptoms such as restlessness, fatigue, difficulty concentrating, and muscle tension.
The worry is typically difficult to control and can significantly interfere with daily life.
Choice C rationale:
Sudden unexplained loss of vision without a physical medical explanation is not a common symptom of GAD. It may be indicative of a more serious medical condition, such as a stroke or a neurological disorder.
It is important to rule out any potential medical causes before attributing a symptom like this to GAD.
Choice D rationale:
Prior physical health followed by the need for two surgeries within the last three months may be a stressful life event that could contribute to the development of GAD.
However, it is not a specific symptom of GAD.
Many people experience stressful life events without developing GAD.
The presence of other symptoms, such as excessive worry and physical symptoms, is necessary for a diagnosis of GAD.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","E","G"]
Explanation
The correct answer/s is Choice/s A, E, and G.
Choice A rationale: Administering 0.9% sodium chloride IV is a common practice in emergency departments to ensure the patient is well-hydrated. This is particularly important for patients experiencing acute mania, as they may have neglected their physical health, including hydration, during their manic episode.
Choice B rationale: Flumazenil is an antagonist for benzodiazepines and is typically used to reverse the sedative effects of benzodiazepines. It is not typically used in the treatment of bipolar disorder or acute mania.
Choice C rationale: Preparing the client for intubation is usually reserved for situations where the patient is unable to maintain their own airway or adequate ventilation. This is not typically necessary in cases of acute mania unless there are other complicating factors.
Choice D rationale: Beginning chest compressions is a response to cardiac arrest. There is no indication in the that the patient is experiencing cardiac arrest, so this would not be a typical anticipation for a patient experiencing acute mania.
Choice E rationale: Administering IV naloxone is done in cases of suspected opioid overdose. While it’s not directly related to treating acute mania, it’s possible that the patient could have comorbid substance use issues, given the high rate of comorbidity between bipolar disorder and substance use disorders.
Choice F rationale: Administering activated charcoal is done in cases of certain types of poisoning or drug overdose. It is not typically used in the treatment of bipolar disorder or acute mania.
Choice G rationale: Preparing the client for electroconvulsive therapy (ECT) could be an appropriate anticipation for a patient experiencing acute mania. ECT is considered a highly effective treatment for severe mania, particularly when other treatments have failed or when rapid stabilization is required.
Correct Answer is A
Explanation
Choice A rationale:
Protecting the client from injury is the highest priority nursing action in this scenario. Here's a detailed rationale explaining the importance of this action:
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