Which of the following assessment questions is most likely to allow the nurse to differentiate between anxiety disorder due to a general medical condition and psychological factors affecting a medical condition?
A) Reviewing the client's previous medication administration record and the client's current list of medications
B) Questioning the client about the clinician who first diagnosed the medical problem
C) Asking the client to provide a detailed explanation of his or her medical problem to determine if the presentation is typical of the problem
D) Establishing whether the client's anxiety preceded the medical problem or whether the medical problem appeared first
Ans: D
Considering the relationship of anxiety with the onset, exacerbation, or remission of the general medical condition can help determine whether a medical condition contributes to anxiety or vice versa. The client's medication list, the identity of the clinician who diagnosed the disease, and the client's symptoms are all aspects of the assessment process, but these are less likely to establish the primary cause.
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