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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

Choice A reason: Assessing family health history may provide context for genetic predispositions to mental health disorders. However, it is not the priority upon admission, as it does not address immediate physiological risks like malnutrition or cardiac instability, which are critical in anorexia nervosa due to severe weight loss.

Choice B reason: Assessing the client’s knowledge of treatment options is important for engaging them in their care plan. However, this is secondary to addressing immediate physical health risks, such as electrolyte imbalances or cardiac complications, which are life-threatening in anorexia nervosa and require urgent attention.

Choice C reason: Assessing early disturbances in family interactions may help identify triggers for anorexia nervosa, such as emotional stress. However, this is not the priority upon admission, as it does not address the immediate physiological dangers of malnutrition, dehydration, or organ dysfunction, which take precedence.

Choice D reason: Anorexia nervosa can cause severe physiological complications, including bradycardia, hypotension, and electrolyte imbalances, due to malnutrition. Assessing and monitoring vital signs and lab values is critical to identify life-threatening conditions like hypokalemia or cardiac arrhythmias, ensuring immediate stabilization and guiding treatment, making it the priority intervention.

A. Nausea and vomiting B. Hypertension and headache C. Flattened neck veins D. Hypotension and dizziness

Correct Answer is D

Explanation

Choice A reason: Nausea and vomiting can occur in cardiac conditions due to reduced perfusion to the gastrointestinal system. However, in atrial fibrillation with a rapid ventricular rate, the priority is assessing for symptoms of reduced cardiac output, such as hypotension and dizziness, which are more immediate and life-threatening.

Choice B reason: Hypertension and headache are not typical of rapid atrial fibrillation, which usually causes reduced cardiac output due to ineffective atrial contractions. These symptoms are more associated with hypertensive crises or other conditions, making them less relevant for this dysrhythmia.

Choice C reason: Flattened neck veins suggest hypovolemia or low venous pressure, not typical in acute atrial fibrillation, where jugular vein distension may occur due to heart failure. Hypotension and dizziness are more direct indicators of compromised cardiac output in this scenario.

Choice D reason: Rapid atrial fibrillation impairs atrial filling, reducing cardiac output and causing hypotension. Dizziness results from decreased cerebral perfusion due to low blood pressure. These are critical symptoms to assess, as they indicate hemodynamic instability, requiring immediate intervention to prevent further complications.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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

A client diagnosed with anorexia nervosa is newly admitted to an inpatient psychiatric unit. Which nursing intervention takes priority?

Correct Answer is D

Explanation

A nurse is caring for a client who suddenly develops atrial fibrillation with a ventricular rate of 150 beats per minute. The nurse should assess the client for which of the following priority signs and symptoms associated with this dysrhythmia?

Correct Answer is D

Explanation

The client has been diagnosed with severe depression and prescribed sertraline (Zoloft). Which assessment of the client by the nurse is a priority after initiation of the medication?

The nurse is assessing a client who has a history of right-sided heart failure. Which assessment finding(s) is/are most consistent with this client’s diagnosis? (Select all that apply)

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)

A client who is manic threatens others on the unit. Which would be the initial nursing action in response to this behavior?

A nurse is preparing to administer metoprolol 25 mg PO to a client with a history of hypertension and heart failure. The client’s vital signs are: BP 132/78 mm Hg, HR 86 beats per minute, and respiratory rate 18 breaths per minute. Which action should the nurse take?

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?

A client with schizophrenia is prescribed risperidone. The nurse observes muscle stiffness and a shuffling gait. What is the most likely cause of these symptoms?

A client notifies a treatment team member of current suicidal ideation. Which nursing intervention would take priority?