A cab driver stuck in traffic is suddenly lightheaded, tremulous, ...

[olgavictoria]

A cab driver stuck in traffic is suddenly lightheaded, tremulous, and diaphoretic and experiences tachycardia and dyspnea. An extensive workup in an emergency department reveals no pathology.
 
  Which medical diagnosis is suspected, and what nursing diagnosis takes priority? A. Generalized anxiety disorder and a nursing diagnosis of fear
  B. Altered sensory perception and a nursing diagnosis of panic disorder
  C. Pain disorder and a nursing diagnosis of altered role performance
  D. Panic disorder and a nursing diagnosis of panic anxiety

Question 2

Arthur, who is diagnosed with obsessive-compulsive disorder, reports to the nurse that he can't stop thinking about all the potentially life threatening germs in the environment.
 
  What is the most accurate way for the nurse to document this symptom? A. Patient is expressing an obsession with germs.
  B. Patient is manifesting compulsive thinking.
  C. Patient is expressing delusional thinking about germs.
  D. Patient is manifesting arachnophobia of germs.

[essyface1]

Answer to Question 1

D
The nurse should suspect that the client has exhibited signs/symptoms of a panic disorder. The priority nursing diagnosis should be panic anxiety. Panic disorder is characterized by recurrent, sudden-onset panic attacks in which the person feels intense fear, apprehension, or terror.

Answer to Question 2

A
Obsessions are unwanted, intrusive, repetitive thoughts. Compulsions are unwanted, repetitive behavior patterns in response to obsessive thoughts that are efforts to reduce anxiety.

[olgavictoria]

Thank you

[essyface1]

Happy to help you