When entering a client's room, the nurse notices the client standing while wringing her hands and wearing street clothes over pajamas. On further examination, it is noted that the client is hyperventilating with elevated vital signs
Which level of anxiety is the client experiencing?
a. Mild
b. Moderate
c. Severe
d. Panic
ANS: C
Signs of severe anxiety include elevated vital signs, impaired problem-solving, and a confused mental state. Signs of mild anxiety are enhanced problem-solving and increased alertness. Signs of moderate anxiety do not include high blood pressure. During panic, the client is immobilized with no cognitive or coping abilities.
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