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?

Panic.

Mild.

Moderate.

Severe.

Answer and Explanation

The Correct Answer is D

A. Panic. Panic-level anxiety typically involves extreme fear and severe physical symptoms such as palpitations, sweating, trembling, and a sense of impending doom. The client's reported symptoms (chest pain, headache, shortness of breath) do not align with the intense nature of panic anxiety.

B. Mild. Mild anxiety is characterized by heightened awareness and alertness. The client's symptoms and statement about his wife leaving him suggest more than mild anxiety as they indicate emotional distress beyond simple alertness.

C. Moderate. Moderate anxiety is associated with increased muscle tension, restlessness, and impaired concentration. Moderate anxiety (choice C) is characterized by increased alertness and decreased concentration but is manageable with support.

D. Severe anxiety significantly impairs daily functioning. It can cause physical symptoms such as chest pain, shortness of breath, and headaches. The client’s presentation aligns with severe anxiety, given the impact on his well-being.

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Correct Answer is D

Explanation

a.Frozen peas are low in tyramine and are generally safe to consume while taking MAOIs like phenelzine.

b.Cottage cheese is low in tyramine compared to aged cheeses and is typically safe to eat while on phenelzine.

c. Fresh Shellfish are not high in tyramine and can generally be eaten without issue when taking phenelzine.

d.Salami is a type of aged, fermented, and cured meat, which is high in tyramine. Consuming salami while taking phenelzine can lead to a dangerous hypertensive crisis due to the interaction with tyramine.

A. Stating that he wants to be with his peers more than with his parents. B. Telling his parents that he doesn't want to talk about the suicide attempt. C. Preferring to eat his meals while watching TV. D. Planning to give his CD collection to his girlfriend.

Correct Answer is D

Explanation

A-Wanting to spend time with peers is not inherently indicative of continued suicidal intent. Adolescents often seek social connections, and while this behavior should be monitored, it is not a specific indicator of ongoing suicidal ideation.

B-While reluctance to discuss the event can be a concern, it doesn't automatically translate to continued suicidal thoughts.

C-Preferring to eat meals while watching TV is a relatively common behavior and does not directly correlate with suicidal intent. While changes in behavior should be noted, this alone is not a strong indicator of continued risk.

D-Giving away prized possessions, especially to loved ones, can sometimes be a sign of hopelessness or finality associated with suicidal ideation. It suggests the adolescent may be putting their affairs in order.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge teaching to a client with a new prescription for phenelzine. The nurse should instruct the client to avoid which of the following foods when taking this medication?

Correct Answer is D

Explanation

A nurse is making a home visit for a 16-year old adolescent who attempted suicide. Which of the following behaviors should alert the nurse that the adolescent still has suicidal intent?

Correct Answer is D

Explanation

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