Registered Practical Nurse (RPN) Practice Test

What should a nurse anticipate when caring for an elderly individual exhibiting signs of anxiety?

1. Refusal to communicate

2. Increased independence

3. Enhanced social interactions

4. Possibility of restlessness

The correct answer is: Possibility of restlessness

Anticipating restlessness in an elderly individual exhibiting signs of anxiety is grounded in the understanding of how anxiety manifests, particularly in this population. Anxiety can lead to physical symptoms, which often include heightened levels of restlessness; individuals may appear agitated or unable to sit still as a result of their anxiety. This can be due to the body’s natural response to stress, which can stimulate a 'fight or flight' reaction, causing discomfort and a need to move. In elderly individuals, anxiety may not only stem from psychological factors but also from concerns related to health, loss of autonomy, or changes in social roles. Therefore, a response to anxiety could present as pacing, fidgeting, or an inability to relax, making restlessness a reasonable anticipation in this context. Understanding this behavior enables nursing staff to tailor their interventions, such as providing calming environments or engaging patients in soothing activities, thus addressing their restlessness and supporting their overall well-being.