[Solved]: The triage nurse performs a more in-depth…

The triage nurse performs a more in-depth assessment of the client’s complaints and reports the assessment to the Advanced Practice Registered Nurse in Psychiatric-Mental Health (APRN-PMH). These two nurses collaborate on development of the care plan to facilitate assessment and interventions for the client’s anxiety. During the initial assessment, the nurse should focus on which areas that are most characteristic of anxiety? (Select all that apply. One, some, or all responses may be correct.) Select all that apply Symptoms restlessness, difficulty concentrating, irritability. Social interactions such as withdrawal, shunning family, and drinking alcohol. Increasing symptoms of depression with consistently sad, low mood. Behavioral alterations including hallucinations. Suicidal ideation. Question 2 of 23 The orientation phase of building the therapeutic relationship is important to the establishment in which rapport can grow. Which approach is best for the nurse to use when assessing for subjective information from the client? Have the client say what is causing the anxiety. Tell the client that it sounds like the anxiety is causing depression. Get the client to explain how anxiety affects normal activities. Ask the client to give an example of how they feel when they are anxious. The client meets with the nurse. During the group session, the client tells the nurse about an extreme amount of stress at work. The client has filed multiple harassment complaints against the boss. The client states feeling it is necessary to hold self to a higher set of standards than coworkers because their boss uses a stricter set of standards for the client’s performance appraisal. Question 3 of 23 The nurse recognizes that the client is experiencing what level of anxiety? Mild. Moderate. Severe. Panic.