The nurse is assessing a nervous 18-year-old patient who has vital signs of P 120, R 30, and BP 160/90. The patient states that he feels something bad is about to happen. Based on this data alone, how should the nurse identify the patient's level of anxiety?
Moderate
Panic
Mild
Severe
The Correct Answer is D
A. Moderate: Moderate anxiety typically involves increased alertness and focus, not severe physiological changes.
B. Panic: Panic is characterized by extreme dread and inability to function, often with a sense of unreality.
C. Mild: Mild anxiety involves slight discomfort and can enhance learning and performance.
D. Severe: Severe anxiety includes significant physiological responses (elevated vital signs) and a sense of impending doom.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Assist with reality orientation: Reality orientation is more suitable for psychotic disorders or delirium.
B. Coach in deep breathing: Deep breathing helps to calm the patient and reduce the physiological symptoms of a panic attack.
C. Assist with rational thought: Rational thought is difficult to achieve during a panic attack; calming measures are more appropriate.
D. Aid in decision making: Decision-making assistance is not practical during a panic attack when the patient is highly distressed.
Correct Answer is C
Explanation
A. is present in all age-groups, but especially older adults : Impetigo is more common in children and not especially prevalent in older adults.
B. Usually presents with a rash on the patient's back: Impetigo typically presents on exposed areas such as the face, arms, and legs, not usually the back.
C. Is a highly contagious inflammatory disorder: Impetigo is highly contagious and characterized by inflammatory skin lesions.
D. is a viral skin infection: Impetigo is caused by bacterial infection (usually Staphylococcus aureus or Streptococcus pyogenes), not a virus.
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