The client who has been experiencing slight anxiety is now ...

[justinmsk]

The 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. The nurse suspects the client has progressed to which anxiety level?
 
  1. Mild
  2. Moderate
  3. Severe
  4. Panic

Question 2

The nurse identifies that a client has not met the expected outcome established for the nursing diagnosis Ineffective Individual Coping. What should the nurse do first?
 
  1. Revise the nursing diagnosis.
  2. Reassess the patient, looking for previously unknown stressors.
  3. Rewrite the interventions used to address the problem.
  4. Explore reasons why the outcome was not achieved.

[Sweetkitty24130]

Answer to Question 1

Correct Answer: 3
Rationale 1: Mild anxiety causes an increase in questioning.
Rationale 2: Moderate anxiety results in voice tremors and pitch changes.
Rationale 3: At severe levels of anxiety, communication is difficult to understand.
Rationale 4: Communication may not be understandable at all when the client reaches the panic stage.

Answer to Question 2

Correct Answer: 4
Rationale: When the expected outcome is not met, the nurse, client, and support persons must explore reasons why before modifying the remaining portions of the care plan.

[justinmsk]

Excellent

[bulacsom]

TYSM