NHM UP Staff Nurse-2021 Shift-2nd
Mental Health Nursing
Medium
A person with anxiety disorder will have all the following symptoms except
Appeared in: NHM UP Staff Nurse-2021 Shift-2nd
Explanation
- Anxiety disorders are characterized by a state of hyperarousal due to the activation of the sympathetic nervous system (the 'fight-or-flight' response).
- This state of heightened alertness and restlessness makes it difficult to fall asleep or stay asleep, a condition known as insomnia.
- Increased sleep (hypersomnia) is not a characteristic feature of anxiety; it is more commonly associated with conditions like atypical depression.
Why Other Options Were Wrong
- Option A: Increased heart rate, or tachycardia, is a hallmark symptom of anxiety. It results from the release of adrenaline, which prepares the body for a 'fight-or-flight' response.
- Option B: Rapid breathing, or hyperventilation, is a classic respiratory symptom of anxiety. The body's attempt to increase oxygen intake during a perceived threat leads to fast, shallow breaths.
- Option D: Restlessness and psychomotor agitation are key motor symptoms of anxiety. The nervous system's hyperarousal manifests as an inability to sit still, fidgeting, or a feeling of being 'on edge'.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Clinical manifestations of anxiety disorders as background academic context rather than a clinical decision trigger.
- Nurses must accurately assess and document symptoms to differentiate anxiety from other conditions like depression, as sleep patterns (insomnia vs. hypersomnia) can be a key diagnostic clue.
- Recognizing the physical manifestations of anxiety is crucial for providing immediate non-pharmacological interventions, such as teaching deep breathing exercises to manage hyperventilation and tachycardia.
- What if? If a patient with a known anxiety disorder begins reporting excessive sleepiness (hypersomnia), the nurse should suspect a possible co-occurring depressive episode or medication side effect and notify the healthcare provider for further evaluation.
How to Approach the Question
- First, identify the core concept of the question, which is the symptomatology of anxiety disorders.
- Note the negative lead-in word 'except'. This signals that you must find the option that is NOT a typical symptom.
- Recall the pathophysiology of anxiety: it is a state of hyperarousal or activation of the 'fight-or-flight' response.
- Evaluate each option against this core concept of hyperarousal.
- Ask yourself: Does hyperarousal cause an increased heart rate? Yes. Does it cause rapid breathing? Yes. Does it cause restlessness? Yes.
- Finally, ask: Does hyperarousal cause increased sleep? No, a state of high alert is incompatible with sleep, leading to insomnia.
Concept Tested & Keywords
- Concept Tested: Clinical manifestations of anxiety disorders
- Stem keywords: anxiety disorder, symptoms
- Lead-in keywords: except
- Negative lead-in flag: Question asks for the exception
Question ID
QcIeRL_705HoYFt-pxhjcS
Reference Book
E6 Kaplan Sadock's Synopsis of Psychiatry-2022 (pp 1-3768 of 3768) p. 1284-1286
E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) pp. 3864-3866, 15597-15600
Practise the full NHM UP Staff Nurse-2021 Shift-2nd
Attempt every question from this paper in a timed mock, then review the full solution for each one.
More Neurotic, stress related and somatisation disorders Questions
- The situation in which individuals have excessive worry or belief that they are suffering from a physical illness despite lack of medical evidence is…
- Following are associated with post traumatic stress disorder except?
- Which of the following disorder is commonly seen in rape victim girl?
- The defence mechanism in which emotional conflicts are expressed through motor, sensory, or somatic disability is identified as?
- Which of the following is NOT a sign/symptom of the obsessive-compulsive disorder?
- Anxiety is caused by?
- What is the term coined for circumscribed fear of a discrete object or situation?
- Which of the following options describes transient situational disturbances?
- What is the term used to explain the condition in which a patient perceives that his/her face is distorted and his/her legs have become short?
- The level of anxiety that enhances the individual's power of perception is?
More NHM UP Staff Nurse-2021 Shift-2nd Questions
- A man started walking West. He turned right, then right again and finally turned left. Towards which direction was he walking now?
- There are five houses P, Q, R, S and T. P is right of Q and T is left of R and right of P. Q is right of S. Which house is in the middle?
- If A means '+', B means '-', C means 'x', then find the value of following equation. 46 A 2 B 3 C 4=?
- Seema's younger brother Sohan is older than Seeta. Sweta in younger than Deepti but elder than Seema, who is the eldest?
- If 'MEAT' is written as 'TEAM', then 'BALE' is written as
- If an a certain code language 'SECTOR' is written as 'ESCTOR', then how will 'MOTHER' be written in that code?
- Arrange the following words according to English dictionary. 1. Hepatitis 2. Cholera 3. Peptidoglycan 4. Chitin
- Introducing Alka to guests, Rakesh said, "Her father is the only son of my father". How is Alka related to Rakesh?
- Arjuna Award is given for
- The first Indian to receive Noble Prize in Literature was