A nurse in the emergency department is caring for a client who is exhibiting manifestations of a panic level of anxiety. Which of the following interventions should the nurse initiate?

Encourage the client to reframe their perception of stress

Guide the client to a location that is quiet and stay with the client.

Help the client identify factors that are contributing to the anxiety

Ask questions to clarify how the client feels and what they are thinking.

Answer and Explanation

The Correct Answer is B

A. Encourage the client to reframe their perception of stress: Reframing can be a helpful strategy for less severe anxiety, but during a panic attack, the client may be too overwhelmed to engage in cognitive techniques like reframing. Immediate support is needed first.

B. Guide the client to a location that is quiet and stay with the client: This is the best intervention. A quiet environment helps reduce external stimuli, and staying with the client provides reassurance and safety, helping to calm the overwhelming anxiety during a panic attack.

C. Help the client identify factors that are contributing to the anxiety: While identifying triggers is important for long-term management, during a panic attack, the priority is immediate relief and safety. The client may not be able to engage in reflection during peak anxiety.

D. Ask questions to clarify how the client feels and what they are thinking: During a panic attack, the client is likely to be too overwhelmed to respond meaningfully to questions. The priority is to offer comfort and a calm presence rather than focusing on understanding their thoughts at that moment.

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Correct Answer is A

Explanation

A. "Cognitive behavioral therapy can help you confront the beliefs you have about gambling": Cognitive behavioral therapy (CBT) helps clients identify and change maladaptive thought patterns and beliefs related to gambling, making it the most appropriate therapeutic approach.
B. "Systematic desensitization can help you decrease your desire for gambling": Systematic desensitization is typically used for anxiety or phobias and involves gradual exposure to a feared object or situation. It is not a primary treatment for gambling disorder.
C. "Gamblers Anonymous can help you replace irresponsible gambling with controlled gambling": Gamblers Anonymous focuses on abstinence from gambling, not controlled gambling. The goal is to help individuals stop gambling altogether.
D. "Interpersonal therapy can help you identify relationships that may have led to your gambling": While interpersonal therapy can be beneficial for improving relationships, gambling disorder is more effectively addressed through CBT, which focuses on changing the client’s thoughts and behaviors related to gambling.

A. Document the client's behavior hourly on a flow sheet. B. Request a PRN client prescription for restraints from the provider. C. Observe the client's behavior once every 15 min. D. Remove the restraint when the client calmly follows commands.

Correct Answer is C

Explanation

A. Document the client's behavior hourly on a flow sheet: While documentation is important, it is more frequent than hourly. Clients in restraints should be observed and documented on more frequently, usually every 15 minutes to ensure safety and assess the client's condition.

B. Request a PRN client prescription for restraints from the provider: Restraints require a specific order from the provider, not a PRN (as needed) prescription. The order must be obtained initially and renewed per the facility's policy, typically every 24 hours.

C. Observe the client's behavior once every 15 minutes: Clients in restraints must be closely monitored for safety and well-being. The nurse should assess the client’s condition, including physical and emotional status, every 15 minutes.

D. Remove the restraint when the client calmly follows commands: Restraints should only be removed under appropriate conditions as assessed by the nurse, and with a provider’s order when necessary. The client's behavior alone does not determine the removal of restraints.

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A nurse in the emergency department is caring for a client who is exhibiting manifestations of a panic level of anxiety. Which of the following interventions should the nurse initiate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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