During the admission assessment of a 27-year-old male client who ...

[Jipu 123]

During the admission assessment of a 27-year-old male client who has been diagnosed with an anxiety disorder, the nurse observes that he is becoming increasingly restless and agitated. How should the nurse respond to this development?
 
  A) Inform the client that the assessment can be postponed if he is currently finding it overwhelming.
  B) Increase the speed of the assessment in order to ensure that it is completed sooner and inform the client that you are doing so.
  C) Acknowledge the client's anxiety and reassure him that the process is important in order for the team to individualize his care.
  D) Explain to the client that his current feelings of anxiety have the potential to foster better coping skills in the future.

Question 2

When assessing a client with anxiety, the nurse should recognize that anxiety may often be a result of what?
 
  A) Cognitive deficits
  B) Organic brain changes
  C) Medications
  D) Fluid and electrolyte imbalances

[shoemake]

Answer to Question 1

Ans: A
If a client becomes agitated during an assessment, it is appropriate to tell the client that you can continue the assessment later. Performing the assessment faster or persisting is likely to exacerbate the client's anxiety. It would be inappropriate to tell the client that his current anxiety will serve a later purpose.

Answer to Question 2

Ans: C
Numerous medications from a variety of drug classes have the potential to cause anxiety. This contribution is more common than anxiety resulting from an organic brain change, a cognitive deficit, or a fluid and electrolyte imbalance, though each is a clinical possibility.

[Jipu 123]

Gracias!

[mochi09]

TYSM