A nurse is assessing a client who appears to be experiencing some ...

[cherise1989]

A nurse is assessing a client who appears to be experiencing some anxiety during questioning. Which symptoms might the client demonstrate that would indicate anxiety? (Select all that apply.)
 
  1. Fidgeting
  2. Laughing inappropriately
  3. Palpitations
  4. Nail biting
  5. Limited attention span

Question 2

How would a nurse best complete the new DSM-5 definition of a mental disorder? A health condition characterized by significant dysfunction in an individual's cognitions, or behaviors that reflects a disturbance in the
 
  1. psychosocial, biological, or developmental process underlying mental functioning.
  2. psychological, cognitive, or developmental process underlying mental functioning.
  3. psychological, biological, or developmental process underlying mental functioning.
  4. psychological, biological, or psychosocial process underlying mental functioning.

[miss_1456@hotmail.com]

Answer to Question 1

1, 2, 4
Rationale: The nurse should assess that fidgeting, laughing inappropriately, and nail biting are indicative of heightened stress levels. The client would not be diagnosed with mental illness unless there is significant impairment in other areas of daily functioning. Other indicators of more serious anxiety are restlessness, difficulty concentrating, muscle tension, and sleep disturbance.

Answer to Question 2

3
Rationale: A health condition characterized by significant dysfunction in an individual's cognitions, or behaviors that reflects a disturbance in the psychological, biological, or developmental process underlying mental functioning, is the new DSM 5 definition of a mental disorder.