Question

A nurse is closely monitoring a newly admitted client who is anxious. At what anxiety level might this client become assaultive and a potential threat to himself and others?

A. Mild
B. Moderate
C. Severe
D. Panic

Answer 1

A client becomes a potential threat to themselves or others when experiencing severe anxiety; at this level, their perception may be distorted and behavior unpredictable.

Step-by-step explanation:

The nurse must be aware that a client experiencing severe anxiety can become assaultive and may pose a potential threat to themselves or others. At this level, the client is overwhelmed by feelings and may have a distorted perception of events, making their behavior unpredictable. It is crucial for healthcare professionals to monitor patients closely, intervene with appropriate measures to ensure safety, and possibly involve additional support to manage the situation effectively. Therefore, the correct answer is C. Severe.