A nurse is providing care to a patient who is experiencing excessive anxiety and worry in response to various situations, and is unable to control their worry. Which of the following conditions should the nurse identify these symptoms as indicative of?

Generalized anxiety disorder

Panic disorder

Agoraphobia

Separation anxiety disorder .

Answer and Explanation

The Correct Answer is A

Choice A rationale
The symptoms described by the patient are indicative of Generalized Anxiety Disorder (GAD). GAD is characterized by excessive anxiety and worry about a number of events or activities.
The worry is out of proportion to the actual circumstance and is difficult to control.
Choice B rationale
Panic disorder is characterized by recurrent unexpected panic attacks, which are abrupt surges of intense fear or discomfort that reach a peak within minutes.
Choice C rationale
Agoraphobia involves fear and avoidance of situations where escape might be difficult or help might not be available in the event of developing panic-like symptoms.
Choice D rationale
Separation anxiety disorder is characterized by excessive fear or anxiety about separation from those to whom the individual is attached.

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Correct Answer is A

Explanation

Choice A rationale
The cortico-striato-thalamo-cortical circuit (CSTC) of the brain is associated with feelings of fear. Anxiety disorders are characterized by an overactivation of this circuit, leading to excessive fear responses14.
Choice B rationale
The amygdala-centered (ACC) circuit of the brain is not typically associated with feelings of apprehension. The ACC is more commonly associated with processing emotions and fear learning14.
Choice C rationale
The cortico-striato-thalamo-cortical circuit (CSTC) of the brain is not specifically associated with phobias. While this circuit plays a role in fear responses, it is not specific to phobic responses14.
Choice D rationale
The amygdala-centered (ACC) circuit of the brain is associated with feelings of panic. However, it is not the only brain circuit involved in anxiety. Other circuits, including the CSTC, also play important roles14.

A. The nurse maintained an upright posture. B. The nurse sat at a slight angle across from the clients. C. The nurse maintained eye contact throughout the interview. D. The nurse leaned away from the client throughout the interview.

Correct Answer is D

Explanation

Choice A rationale
Maintaining an upright posture during a client interview is generally seen as a sign of attentiveness and professionalism. It shows that the nurse is focused on the conversation and respects the client’s concerns.
Choice B rationale
Sitting at a slight angle across from the clients is a part of active listening and is considered a positive nonverbal communication technique. It allows the nurse to maintain eye contact and observe the client’s nonverbal cues.

Choice C rationale
Maintaining eye contact throughout the interview is a positive nonverbal communication technique that shows the nurse is paying attention and is interested in what the client is saying. However, it’s important to note that in some cultures, direct eye contact may be considered disrespectful or intrusive.
Choice D rationale
Leaning away from the client throughout the interview can be perceived as a sign of disinterest or discomfort. It may give the impression that the nurse is not engaged in the conversation or is maintaining a distance from the client. This can hinder the development of a therapeutic nurse-client relationship.

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A nurse is providing care to a patient who is experiencing excessive anxiety and worry in response to various situations, and is unable to control their worry. Which of the following conditions should the nurse identify these symptoms as indicative of?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is experiencing manifestations of anxiety. The nurse should recognize which of the following statements about the neurophysiologic manifestations of anxiety as correct?

Correct Answer is A

Explanation

A nurse manager is evaluating the performance of a newly licensed nurse after performing a client interview. Which of the following nonverbal actions by the newly licensed nurse should be identified as appearing too relaxed?

Correct Answer is D

Explanation

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