A nurse in a mental health facility is caring for a client who is experiencing a panic level of anxiety. Which of the following actions should the nurse take?
Tell the client to sit alone in a private place and reflect on the situation.
Use short sentences when communicating with the client
Have the client journal about what is happening to him
Encourage the client to talk about his feelings.
The Correct Answer is B
Rationale:
A. Tell the client to sit alone in a private place and reflect on the situation: Clients in a panic state are overwhelmed, disorganized, and unable to focus. Leaving them alone can increase feelings of isolation and fear, worsening the anxiety.
B. Use short sentences when communicating with the client: During panic-level anxiety, the client's ability to process information is impaired. Clear, concise communication helps reduce confusion and provides a sense of control and safety.
C. Have the client journal about what is happening to him: Journaling requires introspection and cognitive organization, which are not possible when a client is in a panic state. This intervention is more appropriate once anxiety levels have decreased.
D. Encourage the client to talk about his feelings: While verbalizing emotions is therapeutic, a client in panic may not be able to articulate thoughts. The priority is to first reduce the anxiety to a manageable level using calm, simple guidance.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Document assessment findings and interventions after providing care for a group of clients: Delaying documentation can lead to inaccuracies or omissions due to forgetfulness. Real-time or immediate documentation ensures completeness and supports continuity of care.
B. Gather supplies for a client's dressing change after removing the old dressing: Supplies should be gathered in advance to minimize delays and reduce the risk of contamination or client exposure. Doing so afterward is inefficient and interrupts workflow.
C. Complete activities for one client before moving to the next client: Focusing on one client at a time improves efficiency, reduces errors, and supports prioritization. It allows for full attention on care tasks and appropriate time management across the shift.
D. Delay cleaning personal work area until the end of the shift: Maintaining a clean and organized workspace throughout the shift helps prevent errors, improves efficiency, and supports infection control, especially in high-traffic care areas.
Correct Answer is B
Explanation
Rationale:
A. Phlebitis: Heat therapy is often used to treat phlebitis because it promotes vasodilation and increases blood flow, which can help reduce inflammation and pain at the site of vein irritation.
B. Peripheral neuropathy: Clients with peripheral neuropathy have decreased sensation, putting them at risk for burns or tissue injury because they may not perceive excessive heat. This makes heat therapy unsafe in these individuals.
C. Osteoarthritis: Heat is commonly used to relieve joint stiffness and muscle spasms in osteoarthritis. It helps increase circulation and reduce discomfort in affected joints, especially before physical activity.
D. Abdominal aortic aneurysm: While an abdominal aortic aneurysm is a serious condition, it is not directly impacted by localized heat therapy to a foot. However, heat should still not be applied near the aneurysm site. For distal injuries, it’s not a specific contraindication.
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
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.