A client complains of restlessness, fatigue, nervousness, and sleep disturbances. The nurse knows these are symptoms of which clinical disorder?
1. Obsessive compulsive disorder
2. Generalized anxiety disorder
3. Panic disorder
4. Post-traumatic stress disorder
Correct Answer: 2
Rationale 1: Obsessive compulsive disorder is incorrect because OCD describes recurrent, disturbing thoughts or repetitive behaviors that interfere with a person's normal activities or relationships.
Rationale 2: Generalized anxiety disorder symptoms include restlessness, fatigue, nervousness, and sleep disturbances.
Rationale 3: Panic disorder is incorrect because these are symptoms of a generalized anxiety disorder. Panic disorder is characterized by intense feelings of immediate apprehension, fearfulness, terror, or impending doom, accompanied by increased autonomic nervous system activity.
Rationale 4: Post-traumatic stress disorder is incorrect because PTSD is a type of anxiety that develops in response to re-experiencing a previous traumatic life event, such as combat experience, physical or sexual abuse, a natural disaster, or a murder. The person might dream about the event or be constantly reminded of the event by common occurrences. This re-experiencing of the trauma leads to feelings of helplessness and anxiety that affect the person's ability to function normally.
Global Rationale: Generalized anxiety disorder symptoms include restlessness, fatigue, nervousness, and sleep disturbances. Obsessive compulsive disorder is incorrect because OCD describes recurrent, disturbing thoughts or repetitive behaviors that interfere with a person's normal activities or relationships. Panic disorder is incorrect because these are symptoms of a generalized anxiety disorder. Panic disorder is characterized by intense feelings of immediate apprehension, fearfulness, terror, or impending doom, accompanied by increased autonomic nervous system activity. Post-traumatic stress disorder is incorrect because PTSD is a type of anxiety that develops in response to re-experiencing a previous traumatic life event, such as combat experience, physical or sexual abuse, a natural disaster, or a murder. The person might dream about the event or be constantly reminded of the event by common occurrences. This re-experiencing of the trauma leads to feelings of helplessness and anxiety that affect the person's ability to function normally.
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