The physician has just told the client that the results of a ...

[jjjetplane]

The physician has just told the client that the results of a biopsy performed yesterday reveal no malignancy. During discharge teaching the nurse finds the client is easily distracted and unable to focus.
 
  What is the nurse's best interpretation of this situation? 1. The client did not understand that there is no malignancy.
   2. Anxiety can result from both positive and negative stimuli.
   3. Since there is no malignancy present, the client feels there is no need for teaching.
   4. These findings reflect mild anxiety, but the client should retain information taught despite this distractibility.

Question 2

A client who has been experiencing slight anxiety is now communicating in a manner that makes it difficult for the nurse to understand the client's needs.
 
  When discussing this client with the physician, the nurse indicates the opinion that the client has progressed to which level of anxiety? 1. Mild
   2. Moderate
   3. Severe
   4. Panic

[Juro]

Answer to Question 1

2. Anxiety can result from both positive and negative stimuli.

Rationale:
Anxiety can be the result of both positive and negative stimuli. There is no indication that the client does not understand the report or that the client discounts the need for teaching. The amount of information retained may be drastically reduced by this level of anxiety, so the nurse should take extra pains to ascertain if the client understands the teaching.

Answer to Question 2

3. Severe

Rationale:
Changes in verbalization can be indicative of increasing anxiety. Mild anxiety causes an increase in questioning. Moderate anxiety results in voice tremors and pitch changes. At severe levels, communication is difficult to understand. Communication may not be understandable at all when the client reaches the panic stage.

[jjjetplane]

Thank you!

[Juro]

Always glad to help...