What manifestations might a nurse at a walk-in mental health clinic recognize in a client experiencing severe anxiety?

Attention-seeking conduct

Aggressive behavior

Mild fidgeting

Mild difficulty problem-solving

Answer and Explanation

The Correct Answer is C

Choice A reason:

Attention-seeking conduct is not typically a manifestation of severe anxiety. While individuals may exhibit behaviors that draw attention in an attempt to alleviate their distress, it is not a direct symptom of anxiety itself. Attention-seeking may be associated with other psychological conditions or may be a response to feeling neglected or ignored.

Choice B reason:

Aggressive behavior can sometimes be seen in individuals with severe anxiety, particularly if they feel trapped or overwhelmed. However, it is not as common as other manifestations. Aggression may also stem from a variety of other factors, including personality disorders, mood disorders, or situational stressors, rather than anxiety alone.

Choice C reason:

Mild fidgeting is a common manifestation of severe anxiety. Anxiety can cause a surplus of energy and nervousness that manifests physically as fidgeting, such as tapping feet, playing with hands, or shifting positions frequently. This physical manifestation is a direct result of the body's fight-or-flight response, which prepares the individual to either confront or flee from perceived threats.

Choice D reason:

Mild difficulty problem-solving can occur in individuals with severe anxiety due to the overwhelming nature of their thoughts and feelings. Anxiety can disrupt cognitive processes, making it challenging to concentrate and think clearly. However, this is a broader cognitive effect of anxiety rather than a specific behavioral manifestation.

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Correct Answer is C

Explanation

Choice A reason:

Asking the client "Why do you think you might have cancer when your diagnosis is a benign condition?" could be perceived as dismissive of the client's feelings. It's important for the nurse to acknowledge the client's concerns rather than questioning their rationale.

Choice B reason:

While it is true that discussing specific medical concerns with a provider is important, the statement "I think that's something you need to discuss with your provider" does not address the client's immediate emotional needs. The nurse should provide support and acknowledge the client's feelings before suggesting a discussion with the provider.

Choice C reason:

The response "I'm hearing that you are concerned that it might turn out that you have cancer" is an example of reflective listening. It shows that the nurse is actively listening and validating the client's concerns. This approach can help the client feel understood and supported during a stressful time.

Choice D reason:

Saying "I'm looking at your chart here and I don't see any reason for you to worry about that" may seem reassuring, but it does not validate the client's feelings. The nurse should acknowledge the client's fears and provide comfort, rather than simply referring to the medical facts.

A. Developing autonomy B. Resentment toward the mother C. An anxiety reaction D. Regression

Correct Answer is D

Explanation

Choice A reason:

Developing autonomy is a part of normal toddler development where they seek independence and control over their environment. The described behavior does not indicate a quest for autonomy but rather a response to stress or discomfort.

Choice B reason:

Resentment toward the mother is unlikely in this context. Toddlers may show signs of separation anxiety or distress when a parent leaves, but resentment is a complex emotion that is not typically within the emotional range of an 18-month-old.

Choice C reason:

An anxiety reaction is possible, as hospitalization can be a stressful experience for a toddler. However, the specific behaviors of thumb-sucking and turning away when approached are more indicative of regression, a return to earlier stages of development, as a coping mechanism.

Choice D reason:

Regression is a defense mechanism in which a child reverts to behaviors that are typical of an earlier developmental stage when faced with stress. Hospitalization can be a traumatic experience for a toddler, and behaviors such as thumb-sucking and withdrawal are common regressive responses as they seek comfort.

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What manifestations might a nurse at a walk-in mental health clinic recognize in a client experiencing severe anxiety?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is admitting a client who is about to undergo surgery for benign prostatic hypertrophy. The client states, "I don't know what I will do if they find that I have cancer." Which of the following should be the appropriate response by the nurse?

Correct Answer is C

Explanation

Correct Answer is D

Explanation

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