A client is experiencing a panic attack while in an inpatient group room. Which nursing interventions would promote the client's safety? (Select all that apply)

Administer buspirone (Buspar)

Offer the client therapy to calm down

Turn off any televisions or music in the immediate area

Remain with the client

Remain calm in your approach to the client

Answer and Explanation

Correct Answer : C,D,E

Choice A reason: Buspirone is a non-benzodiazepine anxiolytic that takes weeks to achieve therapeutic effects, making it ineffective for acute panic attacks. It does not provide immediate relief, so administering it during a panic attack does not promote safety or address the client’s acute distress.

Choice B reason: Offering therapy during a panic attack may be overwhelming, as the client’s heightened anxiety impairs their ability to engage in therapeutic dialogue. Safety-focused interventions, like reducing stimuli or staying with the client, are more effective in managing acute panic and ensuring immediate safety.

Choice C reason: Turning off televisions or music reduces environmental stimuli, which can exacerbate a panic attack by overwhelming the client’s heightened sympathetic nervous system response. Minimizing sensory input helps de-escalate anxiety, creating a calmer environment and promoting safety during the acute episode.

Choice D reason: Remaining with the client during a panic attack provides reassurance and ensures safety by monitoring for escalating symptoms or self-harm risks. The nurse’s presence helps stabilize the client emotionally and physically, reducing feelings of isolation and supporting de-escalation of the panic state.

Choice E reason: A calm nursing approach prevents further escalation of the client’s panic by modeling stability and reducing perceived threats. A calm demeanor lowers the client’s sympathetic arousal, fostering a sense of safety and helping to de-escalate the acute anxiety episode effectively.

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Correct Answer is A

Explanation

Choice A reason: Lisinopril can cause hyperkalemia due to reduced potassium excretion. Salt substitutes often contain potassium chloride, which can exacerbate this risk. Reviewing ingredients prevents excessive potassium intake, which could lead to dangerous cardiac arrhythmias, demonstrating proper understanding of dietary precautions.

Choice B reason: Missing a dose of lisinopril if feeling unwell is dangerous, as it may worsen hypertension or heart failure. Consistent dosing is critical to maintain therapeutic effects, and this statement indicates a misunderstanding requiring further teaching on medication adherence.

Choice C reason: Dizziness upon standing (orthostatic hypotension) is a side effect of lisinopril due to vasodilation and reduced blood pressure. Accepting this as normal without reporting it could delay intervention for excessive hypotension, indicating a need for further education.

Choice D reason: Unlimited intake of high-potassium foods like potatoes, bananas, and oranges can lead to hyperkalemia in clients taking lisinopril, risking cardiac arrhythmias. This statement reflects a lack of understanding of dietary potassium restrictions, necessitating further teaching on safe dietary practices.

A. Difficulty focusing, feelings of helplessness, and flight of ideas B. Depressed mood, guilt, and pressured speech C. Changes in sleep pattern, fatigue, and grandiose mood D. Anhedonia, feelings of worthlessness, and difficulty focusing

Correct Answer is D

Explanation

Choice A reason: Difficulty focusing and helplessness are depressive symptoms, but flight of ideas is characteristic of mania, not major depression. This combination does not fully align with the diagnosis, as mania involves elevated mood, which is inconsistent with the client’s statement.

Choice B reason: Depressed mood and guilt are hallmarks of major depression, but pressured speech is a manic symptom, involving rapid, excessive talking. This does not correlate with the anhedonic, low-energy presentation of major depression described by the client.

Choice C reason: Changes in sleep pattern and fatigue are common in depression, but grandiose mood is a manic feature, not associated with major depression. This contradicts the client’s anhedonia, making this combination inconsistent with the diagnosis of major depression.

Choice D reason: Anhedonia (loss of pleasure), feelings of worthlessness, and difficulty focusing are core symptoms of major depression, reflecting altered serotonin and dopamine levels affecting mood, self-perception, and cognition. These align with the client’s statement and the diagnosis, making this the correct choice.

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A client is experiencing a panic attack while in an inpatient group room. Which nursing interventions would promote the client's safety? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing discharge instructions to a client who is prescribed lisinopril, an ACE inhibitor. Which statement by the client demonstrates proper understanding of the discharge instructions?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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A client is experiencing a panic attack while in an inpatient group room. Which nursing interventions would promote the client's safety? (Select all that apply)