A nurse at a walk in mental health clinic is assessing a client experiencing severe anxiety. The nurse should recognize the client might exhibit which of the following manifestations?

Attention-seeking conduct

Wild fidgeting

Threatening behavior

Mild difficulty problem solving

Answer and Explanation

The Correct Answer is B

A. In the context of severe anxiety, clients might engage in attention-seeking behaviors as a way to express their distress or seek support. However, wild fidgeting remains a more direct and common manifestation of severe anxiety.

B. Severe anxiety can lead to various physical and psychological manifestations. "Wild fidgeting" is a common physical manifestation of severe anxiety. It involves restlessness, rapid movements, and an inability to sit still. Fidgeting can be a way for individuals to release excess energy and manage their heightened anxiety levels.

C.While severe anxiety can lead to a variety of behaviors, threatening behavior is not a typical or direct manifestation of severe anxiety. Such behavior may be more indicative of other mental health issues or agitation.

D. Severe anxiety is more likely to cause impairments in concentration, focus, and problem-solving abilities rather than mild difficulty. Severe anxiety can lead to cognitive overload and make it challenging for individuals to think clearly and solve problems effectively.

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Correct Answer is C

Explanation

A. Bleeding:

Explanation: Bleeding is not a common adverse effect of haloperidol, which is an antipsychotic medication used to treat conditions like schizophrenia. Haloperidol primarily works on the central nervous system and is not known to directly cause bleeding issues.

B. Cataracts:

Explanation: Cataracts are not a common adverse effect of haloperidol either. While long-term use of some antipsychotic medications can lead to metabolic and endocrine disturbances, which might indirectly impact eye health, cataracts are not a direct and immediate concern with haloperidol use.

C. Dysrhythmias:

Explanation: Correct Answer. Haloperidol has the potential to cause cardiac-related adverse effects, including dysrhythmias (irregular heart rhythms). This is a particular concern in individuals who are predisposed to heart conditions or have other risk factors. The medication can prolong the QT interval, which is a measure of the time it takes for the heart's electrical system to recharge between beats. Prolonged QT interval can lead to serious and potentially life-threatening arrhythmias.

D. Pancreatitis:

Explanation: Pancreatitis is not a common adverse effect of haloperidol. Pancreatitis typically involves inflammation of the pancreas and can be caused by various factors such as gallstones, alcohol consumption, and certain medications. Haloperidol is not known to directly cause inflammation of the pancreas.

A. "Clients who are involuntarily admitted have the right to informed consent." B. "Clients should be given medications even if they refuse them." C. "The laws regarding restraints are different for clients who are admitted involuntarily." D. "Clients who are admitted involuntarily can be hospitalized for as long as the provider deems necessary."

Correct Answer is C

Explanation

Informed consent typically pertains to medical treatments and interventions. Involuntary admissions involve clients who are admitted due to safety concerns, and they may not have the capacity to provide informed consent in the same way as clients in voluntary admissions.

B) "Clients should be given medications even if they refuse them."

While there might be cases where medications are administered to clients who are involuntarily admitted, this statement is not complete. Administration of medications to clients against their will usually involves a process that considers the individual's best interests and relevant legal requirements.

C) "The laws regarding restraints are different for clients who are admitted involuntarily."

Explanation:

Involuntary admissions involve individuals who are admitted to a mental health facility against their will due to the potential risk they pose to themselves or others. The laws regarding their care and rights may differ from those for voluntary admissions. One aspect where there might be differences is the use of restraints and seclusion.

Clients who are admitted involuntarily have specific legal rights and protections, and these rights vary depending on the jurisdiction and specific mental health laws in place. In many cases, there are regulations that govern the use of restraints and seclusion for clients who are involuntarily admitted. These regulations are in place to ensure the safety and dignity of the individuals while balancing the need for appropriate intervention.

D) "Clients who are admitted involuntarily can be hospitalized for as long as the provider deems necessary."

Involuntary admissions have a legal framework that includes specific criteria for continuing the hospitalization. Clients who are admitted involuntarily cannot be held indefinitely without a proper evaluation and review of their condition and treatment plan.

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A nurse at a walk in mental health clinic is assessing a client experiencing severe anxiety. The nurse should recognize the client might exhibit which of the following manifestations?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has severe manifestations of schizophrenia and is medicated PRN for agitation with haloperidol. The nurse should assess the client for which of the following adverse effects?

Correct Answer is C

Explanation

A nurse manager on a mental health unit is discussing involuntary admissions during a staff meeting. Which of the following statements should the manager include in the discussion?

Correct Answer is C

Explanation

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