A client is experiencing a panic attack characterized by intense fear, hyperventilation, chest pain, and feelings of impending doom. Which nursing intervention is most appropriate to help the client during this panic stage?
Administer a sedative medication.
Encourage the client to talk about their feelings and provide a quiet environment to reduce stimulation.
Engage the client in detailed problem-solving to distract from the anxiety.
Allow the client to express feelings fully without offering any guidance or redirection.
The Correct Answer is B
Choice A reason: Sedative medications may be used in severe cases, but immediate nursing care focuses on nonpharmacologic interventions to ensure safety and reduce stimulation. Medication is not the first-line action.
Choice B reason: Providing a calm environment with reduced external stimuli while encouraging expression of feelings helps the client regain control and decreases anxiety during a panic episode. This is the most appropriate nursing intervention.
Choice C reason: Detailed problem-solving requires higher-level cognitive functioning, which is impaired during a panic attack. Attempting this intervention may increase the client’s distress.
Choice D reason: Allowing expression without guidance offers no therapeutic support and may leave the client overwhelmed by panic symptoms, prolonging the episode.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Displacement involves transferring feelings from one object or person to another safer target, which is not occurring here.
Choice B reason: Returning to earlier developmental behaviors, such as holding a childhood toy and speaking like a child during stress, is a clear example of regression.
Choice C reason: Sublimation is channeling unacceptable impulses into constructive activities, which is not shown in this scenario.
Choice D reason: Repression involves unconsciously blocking distressing thoughts or feelings, but in this case the client is acting out stress through childlike behavior.
Correct Answer is C
Explanation
Choice A reason: When anxiety is severe, the client cannot focus or process complex discussions. Asking them to explore worries may overwhelm them further.
Choice B reason: Providing extensive information is inappropriate in crisis moments because the client’s concentration and comprehension are impaired.
Choice C reason: Clear, calm, and brief communication helps reduce overstimulation, provides structure, and reassures the client during high anxiety. This is the most therapeutic choice.
Choice D reason: Rapid statements can escalate the client’s sense of being overwhelmed, increasing anxiety rather than calming it.
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