A woman is brought to the emergency department after an assault. She presents with complaints of dizziness, dyspnea, visual disturbance, and motor tension with hyperactivity. Which level of anxiety does the nurse recognize in the client's presentation?
A. Mild
B. Panic
C. Severe
D. Moderate
Ans: C. Severe
You might also like to view...
The hospital has a well-designed, fully functioning ethics committee. What ethical debate topics, concerning the entire social network rather than an individual patient, might now be addressed by this committee?
1. Autonomy 2. Informed consent 3. Duplication of services 4. Do-not-resuscitate orders
The nurse has conducted a nutrition screen on a patient using the Nutrition Screening Initiative tool. The patient scored a 4 . What action by the nurse is most appropriate?
a. Refer the patient to a dietician for a nutri-tional assessment. b. Encourage the patient to add more protein items to the diet. c. Reinforce the patient's good eating habits and nutrition. d. Consult the provider about adding an iron supplement.
The nurse is conducting client teaching for a new breastfeeding mother before she leaves the hospital. The client asks about how much fluid she should drink each day. Which of the following is the best answer?
A) Drink at least 10 glasses of fluid every 24 hours. B) Drink a glass of fluid at every meal. C) Drink a glass of fluid every time the baby nurses and at every meal. D) Drink a glass of fluid every two hours around the clock.
The school nurse, on discovering any outbreaks of head lice, scabies, and pinforms, will teach the children to avoid:
a. sitting next to infected children b. wearing head scarves or any head covering c. keeping their coats and hats on their desks and to instead hang them on the coat rack d. sharing and swapping clothing, as well as avoiding sharing personal items