Following a comprehensive assessment, the nurse is documenting the signs and symptoms of a client's anxiety in the medical record. Which of the following is a common affective sign or symptom of anxiety?
A) Palpitations
B) Diaphoresis (sweating)
C) Decreased ability to concentrate
D) Irritability
Ans: D
Feedback:
Affective signs and symptoms to assess for include irritable, worried, tense, or fearful affect; feelings of helplessness or inadequacy; and overly excited, wary, or anguished affect.
You might also like to view...
The nurse interprets which of the following statements as an indication that the elderly client is meeting the developmental task for this stage of life?
1. "If I could live my life over, I would do a lot of things differently." 2. "It's been lonely, but I have found a new sweetheart in the nursing home." 3. "I didn't do everything I wanted to in life, but I am happy with what I accomplished." 4. "My kids didn't want my belongings, so I willed them to charity."
Which of the following criteria would support checking blood levels for the diagnosis of diabetes mellitus?
A) Fasting plasma glucose greater than or equal to 126 mg/dL B) Random plasma glucose greater than 150 mg/dL C) Fasting plasma glucose greater than 100 mg/dL D) Random plasma glucose greater than 126 mg/dL
In addition to the shoulder, knee and elbow, bursae are also located in the:
a. ankle c. wrist b. hip d. fingers
A nurse is administering a potassium supplement to a patient. What will the nurse do to disguise the taste and decrease gastric irritation?
A) dilute it B) give it after meals C) mix it with food D) freeze it