The nurse will expect to observe which responses in behavior in the patient who is experiencing an episode of anxiety? Select all that apply
1. Irritability
2. Indulgence
3. Withdrawal
4. Perspiration
5. Constricted pupils
Answer: 1, 3, 4
Explanation: Irritability is a common response to anxiety. Somatic symptoms of anxiety include perspiration and dilated pupils. Withdrawal is also a common response because it allows the individual to avoid dealing with the stressor. Decreased interest, not indulgence, is a common response to distress.
You might also like to view...
The nurse is caring for an individual with a head injury and notes unequal pupils. Which of the following terms would be used to document this finding?
a. Anisocoria b. Aphasia c. Nystagmus d. Ophthalmoplegia
A nurse is working with many stroke clients. Which clients would the nurse consider referring to a mental health provider on discharge? (Select all that apply.)
a. Client who exhibits extreme emotional lability b. Client with an initial National Institutes of Health (NIH) Stroke Scale score of 38 c. Client with mild forgetfulness and a slight limp d. Client who has a past hospitalization for a suicide attempt e. Client who is unable to walk or eat 3 weeks post-stroke
What is the rationale for the nurse to assess a patient's knowledge of an ordered procedure?
a. To determine difficulties the patient may encounter b. To determine the nurse's role in the procedure c. To determine health teaching required d. To determine anxiety the patient has
Who first proposed the establishment of associate degree programs?
A) Margaret Sanger B) Lillian Wald C) Mary Mahoney D) Mildred Montag