If a client is experiencing "moderate" anxiety, a nurse will observe which of the following clinical manifestations? Select all that apply
A) The client can sustain attention on a particular focus.
B) Verbally states, "For some reason, I am feeling anxious now."
C) Flights of ideas and confusion are noted.
D) Because of inadequacy of observed data, they make distorted inferences.
E) The client may pace, run, or fight violently if asked to perform a task they do not want to perform.
Ans: A, B
With "moderate" anxiety, a client sees, hears, and grasps less than previously. The client can attend to more if directed to do so. They are able to sustain attention on a particular focus and are selectively inattentive to content outside the focal area. The client with moderate anxiety is usually able to state, "I am anxious now." With severe anxiety, inferences drawn may be distorted because of the inadequacy of observed data. With panic, the client has feelings of unreality. flights of ideas or confusion, and fear. They often repeat details. Many relief behaviors are used automatically (without thought). The enormous energy produced by panic must be used and may be mobilized as rage. Panicked clients may pace, run, or fight violently.
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