A nurse is caring for a client who has panic disorder. The client tells the nurse she is suddenly feeling very apprehensive, has a sense that something catastrophic is going to happen, and that she sees bugs flying around her room. Which of the following actions should the nurse take first?
Reinforce reality with the client.
Instruct the client to take deep breaths.
Assist the client to identify the cause of the anxiety.
Administer an antianxiety medication to the client.
The Correct Answer is B
A. Reinforce reality with the client. While reinforcing reality can help in addressing the client's hallucinations (seeing bugs), it may not be the immediate priority when the client is experiencing severe panic.
B. Instruct the client to take deep breaths: Helping the client to take deep breaths can provide immediate relief from acute anxiety by promoting relaxation and helping to reduce the physiological symptoms of panic. Once the client is calmer, other interventions can be considered.
C. Assist the client to identify the cause of the anxiety: Insight into triggers is more appropriate after the acute episode resolves.
D. Administer an antianxiety medication to the client: While this may be necessary, it is not the immediate first action in this scenario.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Invite a family member to be present for the nursing history: This may discourage the client from sharing truthful information if the family member is the perpetrator.
B. Display disapproval toward the perpetrator: Displaying judgment can increase the client’s distress and reduce their openness.
C. Probe the client to offer a factual account of the abuse: Pressuring the client to share details can retraumatize them.
D. Be direct and honest when communicating with the client. Direct, honest communication helps build trust, which is essential for abused clients who may feel vulnerable.
Correct Answer is ["3"]
Explanation
Dose ordered: 7.5 mg
Available: 2.5 mg per tablet
Tablets required: 7.5 /2.5 = 3
Correct Answer: 3 tablets
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