A nurse is admitting a client who has generalized anxiety disorder and is experiencing a panic level of anxiety. Which of the following actions should the nurse plan to take first?
Determine the client's triggers.
Provide the client with a quiet, low-stimulation environment.
Teach the client to use deep breathing techniques.
Encourage the client to verbalize their feelings.
The Correct Answer is B
Choice A reason: Identifying triggers is important but not the priority during a panic episode. The client may be too overwhelmed to engage in this process initially.
Choice B reason: Providing a quiet, low-stimulation environment helps reduce sensory overload and promotes safety. It is the first step in de-escalating panic-level anxiety.
Choice C reason: Teaching coping techniques is essential but should follow environmental stabilization. The client may not be receptive to learning during acute distress.
Choice D reason: Encouraging verbalization is therapeutic but may not be feasible during a panic attack. The priority is calming the environment first.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Innocent murmurs are typically soft, short, and systolic, and they do not present as harsh or pansystolic. They are also not localized to the lower left sternal border.
Choice B reason: Patent ductus arteriosus produces a continuous "machinery-like" murmur, usually heard best at the upper left sternal border, not the lower left.
Choice C reason: Ventricular septal defect (VSD) classically presents as a harsh, pansystolic murmur heard best at the lower left sternal border due to turbulent flow across the septal defect.
Choice D reason: Atrial septal defect typically produces a systolic murmur at the upper left sternal border and may be accompanied by a fixed split of the second heart sound, not a pansystolic murmur.
Correct Answer is B
Explanation
Choice A reason: Identifying triggers is important but not the priority during a panic episode. The client may be too overwhelmed to engage in this process initially.
Choice B reason: Providing a quiet, low-stimulation environment helps reduce sensory overload and promotes safety. It is the first step in de-escalating panic-level anxiety.
Choice C reason: Teaching coping techniques is essential but should follow environmental stabilization. The client may not be receptive to learning during acute distress.
Choice D reason: Encouraging verbalization is therapeutic but may not be feasible during a panic attack. The priority is calming the environment first.
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