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 D

Explanation

This response demonstrates a therapeutic and empathetic approach to the client's distress. By offering to talk in a private area without interruption, the nurse provides the client with a safe space to express their feelings and concerns. It also allows the nurse to conduct a more in-depth assessment of the client's current emotional state and any specific triggers contributing to their anxiety.

A- Encouraging the client to lie down assumes that all clients with anxiety benefit from this approach, which may not be the case for everyone.

B- Simply suggesting medication may not address the underlying concerns or provide an opportunity for the client to express themselves.

C- While relaxation exercises can be beneficial for managing anxiety, suggesting them right away may not be the best response when the client is in a heightened state of distress.

A. Nasal septum perforation B. Slowed breathing C. Acute pancreatitis D. Permanent short-term memory loss

Correct Answer is B

Explanation

Heroin is an opioid drug that depresses the central nervous system, which can lead to respiratory depression. This means that heroin can slow down a person's breathing rate, potentially leading to shallow breathing or even stopping of breathing altogether. This is a life-threatening complication and one of the most significant dangers of heroin use.

The other options listed are associated with other substances or conditions:

A- Nasal septum perforation is commonly associated with the use of cocaine, not heroin.

C- Acute pancreatitis is not a commonly reported complication of heroin use.

D- Permanent short-term memory loss is not a specific complication of heroin use, though chronic substance abuse can lead to cognitive impairments and memory problems in general.

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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?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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