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

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Persistent low-grade depression without hypomania is not typical of bipolar II disorder, as hypomanic episodes are a key feature of the disorder.

B. Psychosis is more common during full manic episodes, typically seen in bipolar I disorder, not bipolar II.

C. Bipolar II disorder is characterized by hypomanic episodes that alternate with major depressive episodes. Hypomania is a less severe form of mania, and individuals with bipolar II do not experience full manic episodes as in bipolar I.

D. Severe manic episodes are characteristic of bipolar I disorder, not bipolar II, which involves hypomanic episodes instead.

A. Provide a structured activity schedule for the dent B. Instruct the client on relaxation techniques for use when anxiety increases. C. Identify precipitating factors for ritualistic behaviors. D. Discuss alternative coping strategies with the client

Correct Answer is C

Explanation

A. Providing a structured activity schedule can be beneficial but comes after understanding the triggers of the behaviors.

B. Relaxation techniques are helpful but would be more effective after understanding the client's specific rituals and triggers.

C. The first step in managing obsessive-compulsive disorder (OCD) is understanding the triggers or precipitating factors for the client's ritualistic behaviors. This helps the nurse identify patterns and understand the client's anxiety, which is essential for planning further interventions.

D. Discussing alternative coping strategies is important but should follow an assessment of the factors that drive the compulsive behaviors.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient with bipolar II disorder is most likely to experience:

Correct Answer is C

Explanation

A nurse is caring for a newly admitted client who has obsessive-compulsive disorder (OCD). Which of the following actions should the nurse take first?

Correct Answer is C

Explanation

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