A client accompanied her boyfriend to the emergency department after the two had been in a
motorcycle accident. The boyfriend was badly hurt, but the client had only minor cuts and bruises.
The client appears confused and has trouble focusing on what the nurse is saying. She reports nausea
and dizziness, has tachycardia, and is hyperventilating as the nurse interviews her. She tells the
nurse that she feels as though something awful is going to happen. The nurse should assess the
client's level of anxiety as
a. mild.
b. moderate.
c. severe.
d. panic.
ANS: C
The person whose anxiety is assessed as severe is unable to solve problems and may have a poor
grasp of what is happening in the environment. Somatic symptoms such as those described are
usually present. The individual with mild anxiety is only mildly uncomfortable and may even find
his or her performance enhanced. The individual with moderate anxiety grasps less information
about a situation and has some difficulty with problem solving. The individual in panic will
demonstrate markedly disturbed behavior and may lose touch with reality.
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