A nurse on the psychiatric unit is assessing a client who has moderate anxiety disorder. Which of the following findings should the nurse expect?

Urinary frequency

Rapid speech

Chills

Distorted perceptual field

Answer and Explanation

The Correct Answer is A

A- Urinary frequency: Anxiety, particularly moderate to severe anxiety, can stimulate the sympathetic nervous system, which may lead to physical symptoms such as increased urination or urinary frequency. This is due to the body’s "fight-or-flight" response, which can affect the bladder.

B. Clients experiencing moderate anxiety may speak rapidly as their thoughts race, and they may feel an urgent need to express their concerns.

C- Chills: Chills are not typically associated with moderate anxiety disorder. Chills are more commonly seen in conditions such as infections or fever.

D- Distorted perceptual field: Distorted perceptual field, also known as perceptual disturbances, is not typically associated with moderate anxiety disorder. Perceptual disturbances refer to sensory experiences such as hallucinations or illusions, which are more commonly seen in severe mental health conditions like psychosis or substance-induced disorders.

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Correct Answer is C

Explanation

Diazepam belongs to the benzodiazepine class of drugs and is commonly used to manage the symptoms of alcohol withdrawal. It helps alleviate anxiety, agitation, tremors, and seizures that can occur during alcohol withdrawal. Diazepam has sedative effects and helps prevent and treat alcohol withdrawal seizures by acting on the central nervous system.

Incorrect:

A- Disulfiram is a medication used to support alcohol abstinence by creating unpleasant reactions if alcohol is consumed. It is not typically administered during acute alcohol withdrawal.

B- Naltrexone is used to help individuals with alcohol dependence reduce their alcohol cravings and drinking behavior. It is not typically used during the acute phase of alcohol withdrawal.

D- Acamprosate is a medication used to maintain abstinence from alcohol in individuals who have already stopped drinking. It is not typically used during the acute phase of alcohol withdrawal.

A. "I haven't gotten my period yet, and all my friends have theirs." B. "My parents treat me like a baby sometimes." C. "There's a big pimple on my face, and I worry that everyone will notice it." D. "None of the kids at this school like me, and I don't like them either."

Correct Answer is D

Explanation

A. While choice A, “I haven’t gotten my period yet, and all my friends have theirs,” is a valid concern for a 13-year-old, it is generally a normal part of development. Menarche can occur anywhere between ages 9 and 16, so it’s not uncommon for some girls to start later than their peers. However, it is important to address this concern and provide reassurance.

B- "My parents treat me like a baby sometimes." This comment suggests a possible issue with parent-child dynamics, but it does not indicate an immediate health concern. The nurse may explore this further during a counseling session or refer the adolescent to a school counselor if necessary.

C- "There's a big pimple on my face, and I worry that everyone will notice it." While acne can impact an adolescent's self-esteem, it is not a priority issue from a health perspective. The nurse can provide support, discuss basic skincare practices, and offer guidance on managing acne if appropriate.

D. "None of the kids at this school like me, and I don't like them either." This comment indicates potential issues with social relationships, isolation, and possible mental health concerns, which should be prioritized for further evaluation and support. The client might be at risk for depression, an eating disorder or self-harm.

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A nurse on the psychiatric unit is assessing a client who has moderate anxiety disorder. Which of the following findings should the nurse expect?

Nursing Test Bank

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Correct Answer is D

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