A patient with moderate to severe anxiety associated with generalized anxiety disorder can be assessed as successfully lowering her anxiety level to mild when she:
a. implores "What's the matter with me?"
b. stays in her room and rocks or paces.
c. states she is uninterested in eating.
d. concentrates on what the nurse is saying.
D
The ability to concentrate and attend to reality and external events or stimuli is decreased in moderate, severe, and panic-level anxiety but increased slightly in mild anxiety. Asking "What's the matter with me?" in a pressured or excited manner suggests that her anxiety is at a moderate or severe level. Withdrawal, repetitive or rhythmic behavior, and motor restlessness also suggest moderate or severe anxiety. Interest in eating is variable in anxious persons and change in interest in intake is not reliably associated with any particular level of anxiety.
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The pressure reading on the ventilator of a client receiving mechanical ventilation is fluc-tuating widely. What is the correct action to take for this problem?
A. Determine whether there is an air leak in the client's endotracheal tube cuff. B. Increase the tidal volume by at least 100 mL or by the client's weight in kg. C. Assess the client's oxygen saturation to determine the adequacy of oxygenation. D. Disconnect the ventilator from the client and use a manual resuscitation bag until the machine has been checked.
A client admitted for a heroin overdose received naloxone (Narcan), which relieved his altered breathing pattern. Two hours later he complains of muscle aches and abdominal cramps. He also displays a runny nose and is shivering
What assessment can be made? A) The client is experiencing symptoms of narcotic withdrawal. B) The client is experiencing relapse. C) The client is experiencing a side effect to the naloxone. D) The client should be placed on seizure precautions.
Which phrases identify differences between taking the NCLEX-PN examination and a "regular" test in a nursing program? (Select all that apply.)
a. One can skip questions and return to them in a program exam. b. One will be penalized for guessing on the NCLEX-PN examination. c. There are a variety of question formats on the NCLEX-PN examination. d. One should stop reading possible answers on the NCLEX-PN examination as soon as selecting the correct answer. e. The NCLEX-PN examination is individualized; program examinations are identical for all testers.
A school-age client experiences a near-drowning episode and is admitted to the pediatric intensive-care unit (PICU). The parents express guilt over the near drowning of their child. Which response by the nurse is most appropriate?
1. "You will need to watch the child more closely." 2. "Tell me more about your feelings related to the accident." 3. "The child will be fine, so don't worry." 4. "Why did you let the child almost drown?"