A nurse is assessing a client who has generalized anxiety disorder. Which of the following findings should the nurse expect?

Sudden unexplained loss of vision

Constant worry about the undiagnosed presence of an illness for more than 6 months

Obsession over a fictitious defect in physical appearance

Prior physical health followed by the need for two surgeries within the last three months

Answer and Explanation

The Correct Answer is B

Generalized anxiety disorder (GAD) is a type of anxiety disorder characterized by excessive and persistent worry about a variety of diﬀerent things, including health, work, relationships, and everyday situations. People with GAD may experience physical symptoms, such as fatigue, muscle tension, and restlessness.

Option a is not a typical finding associated with GAD. Sudden unexplained loss of vision may be a symptom

of a neurological or ophthalmologic condition, but not specifically related to GAD.

Option c describes a condition called body dysmorphic disorder (BDD), which is a type of obsessive- compulsive disorder characterized by an excessive preoccupation with a perceived physical ﬂaw. BDD is not typically associated with GAD.

Option d does not describe a typical finding associated with GAD. While physical health issues can contribute to anxiety, the need for surgeries within the last three months is not necessarily indicative of GAD.

Therefore, the correct option is b. Constant worry about the undiagnosed presence of an illness for more than 6 months. People with GAD often worry about their health and the possibility of having an undiagnosed illness, even when there is no evidence of a problem. This worry may persist for six months or more and can interfere with daily life.

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Correct Answer is A

Explanation

Chronic anxiety is a persistent feeling of unease, worry, or fear that can interfere with daily life. To manage chronic anxiety, the client needs to identify anxiety-producing situations that trigger their symptoms. This can help the client avoid or cope better with these situations. It is important to note that it is not always possible to eliminate stress and anxiety from daily life, so it is better to focus on managing it eﬀectively.

Trying to repress feelings of anxiety is not a helpful strategy and can make the client's symptoms worse in the long run. Repressing emotions can lead to feelings of frustration, irritability, and even physical symptoms such as headaches or muscle tension.

Contacting the crisis counselor once a week may be helpful for some clients, but it is not a standard recommendation for all clients with chronic anxiety. The discharge plan should include personalized recommendations that are tailored to the client's specific needs and circumstances.

A. Identify the clients’ coping skills. B. Determine the cause of the client's anxiety. C. Ensuring that the client feels safe. D. Protecting the client from injury

Correct Answer is D

Explanation

During a crisis, the client may be at risk of harming themselves or others. The nurse should take steps to ensure the safety of the client and those around them. Once the immediate safety concerns have been addressed, the nurse can then focus on identifying the cause of the client’s anxiety and helping them develop coping skills.

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A nurse is assessing a client who has generalized anxiety disorder. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A registered nurse is preparing a client who has chronic anxiety for discharge from the psychiatric unit. Which of the following instructions should the nurse include in the client's discharge plan?

Correct Answer is A

Explanation

A nurse is caring for a who requires a crisis intervention for acute anxiety. Which of the following actions is the highest priority?

Correct Answer is D

Explanation

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