A nurse is assigned to care for a patient diagnosed with moderate (+2) anxiety. Which assessment findings are most likely?

a. Distorted perceptions, disorientation, and defensiveness.
b. Poor concentration, narrow perceptions, and irritability.
c. Irrational reasoning and loss of contact with reality.
d. Alertness, attentiveness, and accurate perceptions.


B
In moderate anxiety states, the body is preparing for protective action. Cognitive symptoms include difficulty concentrating, distractibility, narrowed perceptions, short attention span, tangentiality or circumstantiality, and decreased problem-solving ability. Alertness is associated with mild anxiety. Distorted perceptions are associated with severe anxiety. Irrational reasoning is associated with panic.

Nursing

You might also like to view...

A mother brings her two-year-old child to the pediatric office for a sick visit. The child is seen regularly at the office and was last seen at her well-child visit two months ago

Based on this information, which is the most appropriate action by the nurse? 1. Asking the mother to leave the room after obtaining the history 2. Obtaining a comprehensive history, including sociodemographic data 3. Focusing exclusively on the reported illness 4. Reviewing health promotion and maintenance activities

Nursing

Assessing a client's capillary refill is an important piece in determining vascular blood flow to an extremity

After pressing down on a client's fingernail or toenail for a few seconds and then releasing, the RN would expect the client's nail to return to a normal color in how many seconds? a. >15 seconds c. < .5 seconds b. < 3 seconds d. between 15-30 seconds

Nursing

The nurse assesses which of the following families as developmentally appropriate? Select all that apply

A) the family that teaches their school-age children at home, and does not participate in social groups B) the family with a newborn that has prepared a nursery and bought clothing and baby care supplies C) the family in which the teenagers are expected to work in the family business after school and on weekends D) the newlyweds who have decided together not to have children for several years E) the "empty nest" family that has opened a new business and spends long hours each day working together

Nursing

Pain that warns of actual or impending tissue injury is referred to as what?

a. Chronic b. Psychogenic c. Acute d. Phantom

Nursing