During assessment of a client, a nurse suspects that the client is experiencing anxiety. Which of the following would support the nurse's suspicion? Select all that apply
A) Facial flushing
B) Tense posture
C) Extreme restlessness
D) Somnolence
E) Facial grimaces
Ans: B, C, E
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During the intake history, the nurse observes the client for behavioral signs indicating anxiety (e.g., inability to focus, extreme restlessness, facial grimaces, tense posture).
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