A client presents in the emergency department with complaints of overwhelming anxiety. Which of the following is a priority for the nurse to assess?
A. Risk for suicide
B. Cardiac status
C. Current stressors
D. Substance use history
ANS: B
Although all of the listed aspects of assessment are important, the priority is to evaluate cardiac status since a person having an MI, CHF, or mitral valve prolapse can present with symptoms of anxiety.
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