A nurse on an inpatient mental health unit is assisting with the care of a client who is experiencing panic level anxiety. Which of the following findings should the nurse expect?

Voice tremors

Depersonalization

Shakiness

Poor concentration

Answer and Explanation

The Correct Answer is B

A. Voice tremors are associated with moderate anxiety, where the individual begins to exhibit physical signs of distress but still retains some level of focus. At panic-level anxiety, communication becomes severely impaired, often resulting in unintelligible speech or complete loss of verbal ability.
B. Depersonalization, a dissociative symptom in which individuals feel detached from their own body or reality, is a hallmark of panic-level anxiety. During this state, individuals may experience a sense of unreality, feel as though they are outside their body, or believe that their surroundings are distorted, contributing to a profound sense of fear and disorientation.
C. Shakiness is a physiological response observed in moderate to severe anxiety due to increased autonomic arousal. However, at panic-level anxiety, the body is in a state of extreme crisis, often leading to more severe symptoms such as hyperventilation, loss of motor control, and derealization rather than mere shakiness.
D. Poor concentration is characteristic of moderate to severe anxiety, where cognitive function begins to decline due to excessive worry. However, in panic-level anxiety, cognitive function is severely impaired, and the individual may be unable to process information coherently, often leading to complete disorganization of thought.

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Correct Answer is D

Explanation

A. Neurotransmitters are chemical components that allow neurons to store energy for future use. Neurotransmitters do not store energy; they facilitate communication between neurons by transmitting signals across synapses. Their primary function is to modulate brain activity, not energy storage.
B. Neurotransmitters are activated by the enzyme transferase. Neurotransmitters are not activated by transferase. They are synthesized, stored in vesicles, and released into the synaptic cleft in response to an action potential, where they bind to receptors to elicit a response.
C. Neurotransmitters function by inhibiting the production of glucose. Neurotransmitters do not inhibit glucose production. They play a role in neuronal signaling, affecting mood, cognition, and physiological processes, but do not directly regulate glucose metabolism.
D. Neurotransmitters are found throughout the body. Neurotransmitters exist in both the central and peripheral nervous systems, regulating various functions such as mood, movement, and autonomic responses. They are essential for communication between neurons in the brain and throughout the body.

A. Biologically male clients are typically diagnosed earlier than biologically female clients. B. Biologically female clients are likely to be diagnosed earlier than biologically born males. C. Diagnosis commonly occurs in individuals under the age of 12. D. People diagnosed with schizophrenia are more violent than others.

Correct Answer is A

Explanation

A. Biologically male clients are typically diagnosed earlier than biologically female clients: Schizophrenia generally presents earlier in males, often between ages 18 and 25, whereas females tend to be diagnosed later, typically between their late 20s and early 30s. This difference is thought to be influenced by hormonal and genetic factors.
B. Biologically female clients are likely to be diagnosed earlier than biologically male clients: Schizophrenia tends to manifest later in females, partly due to the protective effects of estrogen, which may delay the onset of symptoms compared to males.
C. Diagnosis commonly occurs in individuals under the age of 12: Childhood-onset schizophrenia is extremely rare. Most cases present in late adolescence or early adulthood, with symptoms gradually developing over time.
D. People diagnosed with schizophrenia are more violent than others: Individuals with schizophrenia are not inherently more violent than the general population. They are more likely to be victims of violence rather than perpetrators, and when violence does occur, it is often associated with substance use or untreated symptoms.

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A nurse on an inpatient mental health unit is assisting with the care of a client who is experiencing panic level anxiety. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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