Difficulty: Medium
Average Score: 88%
Simulated
Passage / Scenario
A nervous 18-year-old patient who has vital signs of P 120, R 30, and BP 160/90. The patient states that he feels something bad is about to happenThe nurse is assessing a nervous 18-year-old patient who has vital signs of P 120, R 30, and BP 160/90. The patient states that he feels something bad is about to happen. Based on this data alone, how should the nurse identify the patient's level of anxiety?
Correct answer
D
Rationale
Severe anxiety includes significant physiological responses (elevated vital signs) and a sense of impending doom.