A nurse in an acute mental health facility observes a client having a panic attack. Which of the following interventions should the nurse implement first?

Discuss the client's feelings prior to the panic attack.

Encourage the use of positive self-talk strategies.

Instruct the client to use abdominal breathing.

Administer an antianxiety medication.

Answer and Explanation

The Correct Answer is C

A.   Discussing the client's feelings prior to the panic attack may be helpful during a debriefing session but is not the priority during an acute panic attack.
B.   While positive self-talk strategies can be beneficial for managing anxiety, they may not be effective during the acute phase of a panic attack when the client is experiencing overwhelming symptoms.
C.   Instructing the client to use abdominal breathing helps to regulate breathing patterns and reduce the intensity of the panic attack by activating the parasympathetic nervous system.
D.   Administering an antianxiety medication may be necessary in severe cases of panic attacks, but it is not typically the first intervention. Non-pharmacological techniques such as breathing exercises should be attempted first.

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Correct Answer is A

Explanation

A. "Check the client's ability to use the call light." This is the first action to take because ensuring the client can call for assistance if needed is crucial for their safety. If the client has impaired mobility and is at risk for falls, they should be able to summon help easily if they need to move or if assistance is required.

B. "Document the client's risk in the medical record." While documentation is important, ensuring the client can call for help should be prioritized to address immediate safety needs. Documenting the risk can occur after addressing immediate needs.

C. "Request a referral for physical therapy." While physical therapy may be indicated later, the priority is to ensure the client’s immediate safety by confirming they can call for help if needed.

D. "Place a gait belt in the client's room." A gait belt can be useful for assisting with mobility, but the immediate concern is ensuring the client can call for help if they need it, rather than preparing for assistance with mobility.

A. Methadone B. Meperidine C. Hydromorphone D. Fentanyl

Correct Answer is A

Explanation

A. Correct. Methadone is commonly used to manage opioid withdrawal symptoms in newborns due to its long half-life and ability to stabilize opioid receptors, thereby reducing withdrawal symptoms.
B. Incorrect. Meperidine is not typically used for opioid withdrawal in newborns and is associated with a higher risk of toxicity and withdrawal symptoms.
C. Incorrect. Hydromorphone is not typically used for opioid withdrawal in newborns and may not be suitable due to its potency and potential side effects.
D. Incorrect. Fentanyl is not typically used for opioid withdrawal in newborns and is more commonly used for pain management in the perioperative or critical care settings.

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A nurse in an acute mental health facility observes a client having a panic attack. Which of the following interventions should the nurse implement first?

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