A nurse is caring for a client who has an anxiety disorder. Which of the following findings should the nurse recognize as a manifestation of mild anxiety?
Incoherent speech
Irritability
Insomnia
Chest pain
The Correct Answer is B
A: Incoherent speech is more typical of severe anxiety.
B: Irritability can be a symptom of mild anxiety, where the person may have heightened awareness but still maintains coherence and function.
C: Insomnia is generally associated with more chronic or severe states of anxiety.
D: Chest pain is usually associated with more severe forms of anxiety, such as panic attacks.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A: Monthly laboratory tests to monitor drug levels are not typical for benzodiazepine use.
B: Avoiding foods containing tyramine is necessary with MAO inhibitors, not benzodiazepines.
C: Benzodiazepines are known to cause physical dependence; hence, stating otherwise would be incorrect.
D: Combining benzodiazepines with alcohol can increase CNS depression and is potentially dangerous.
Correct Answer is A
Explanation
A: Goals must be relevant and important to the client to encourage engagement and commitment to the therapeutic process.
B: While regular evaluations are essential, they must align with the individual’s progress and specific needs rather than a set schedule.
C: Goals should indeed be achievable, but tying them strictly to discharge may not accommodate ongoing or long-term needs.
D: While physician input can be valuable, goals should be client-centered and driven by nursing assessments and the therapeutic plan.
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