A nurse is caring for a client who is experiencing excessive anxiety and worry in response to a variety of circumstances, and is unable to control their sense of worry. The nurse should identity that these manifestations indicate which of the following?
Agoraphobia
Generalized anxiety disorder
Separation anxiety disorder
Panic disorder
The Correct Answer is B
A. Agoraphobia is marked by the fear of being in situations where escape may be difficult or help unavailable in case of panic-like symptoms. It is not characterized by generalized worry.
B. Generalized anxiety disorder (GAD) is characterized by excessive anxiety and worry that is difficult to control and is associated with a variety of circumstances. Individuals with GAD often experience chronic worry about multiple life domains, without a specific focus.
C. Separation anxiety disorder involves excessive fear of being separated from loved ones or familiar environments, which is different from generalized worry about multiple life events.
D. Panic disorder involves recurrent panic attacks that are not necessarily related to generalized anxiety or worry about various life situations.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D","E"]
Explanation
A. Sleeping for long periods of time would typically indicate depression, not mania.
B. Dressing in black or grey clothing is not typically associated with mania; this could be a symptom of depression, which tends to cause social withdrawal and lack of energy.
C. Rapid, continuous speech (pressured speech) is a common symptom of mania, where the individual is unable to control the flow of conversation.
D. Spending large sums of money without regard for the consequences is a typical behavior during manic episodes, often linked to impulsivity and poor judgment.
E. Flirtatious behavior can indicate impulsivity, another characteristic of mania, where the person may act inappropriately or without regard for social boundaries.
Correct Answer is C
Explanation
A. Nausea is a common side effect but is not as critical as a skin rash.
B. Tremors may occur with certain medications used in bipolar disorder but are not a specific concern with lamotrigine.
C. A skin rash is a serious adverse effect of lamotrigine, as it can indicate a life-threatening condition called Stevens-Johnson syndrome (SJS) or toxic epidermal necrolysis (TEN), which require immediate medical intervention.
D. Drowsiness may occur with many medications but is not as urgent as a skin rash in this case.
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