A nurse is caring for a client who experiences severe anxiety when going to work. The nurse should identify that which of the following areas of the autonomic nervous system is stimulated when the client goes to work?

Sympathetic nervous system

Limbic system

Parasympathetic nervous system

Vagus nerve

Answer and Explanation

The Correct Answer is A

A. The sympathetic nervous system is responsible for the "fight or flight" response, which is triggered during times of anxiety, stress, or fear. It increases heart rate, blood pressure, and prepares the body to respond to perceived threats, which aligns with the client's severe anxiety going to work.

B. The limbic system plays a role in emotion and memory but is not directly responsible for the physiological changes associated with anxiety.

C. The parasympathetic nervous system is responsible for "rest and digest" functions, counteracting the sympathetic nervous system’s responses during relaxation, not during anxiety.

D. The vagus nerve is part of the parasympathetic system and is not primarily responsible for the acute anxiety response.

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Correct Answer is A

Explanation

A. Valproate is associated with potential liver toxicity, so liver function tests must be monitored regularly during treatment.

B. Thyroid function tests are not required with valproate therapy, although they are important for other medications, such as lithium.

C. A pretreatment EEG is not necessary for valproate use. This test is typically used for clients with seizure disorders.

D. High serum sodium levels are not related to valproate toxicity; however, low sodium levels can increase the risk of toxicity.

A. The client reports that voices are telling him to write a novel. B. The client is dressed in all black C. The client responds to questions with disorganized speech. D. The client's spouse reports that client has recently gained weight.

Correct Answer is C

Explanation

A. Hearing voices could indicate psychosis, which is not specifically linked to acute mania in bipolar disorder. Mania may involve delusions or grandiosity but not auditory hallucinations.

B. Dressing in all black is not specific to acute mania and could be related to personal style or another mood state.

C. Disorganized speech is a hallmark symptom of acute mania in bipolar disorder. The individual may exhibit flight of ideas, rapid speech, or incoherent thoughts.

D. Weight gain is more commonly associated with depression or medication side effects, not acute mania.

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A nurse is caring for a client who experiences severe anxiety when going to work. The nurse should identify that which of the following areas of the autonomic nervous system is stimulated when the client goes to work?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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