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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. The child participates in school activities: Participation in activities may suggest resilience and a return to normalcy, rather than a sign of trauma.

B. The child talks about best friends at school: Positive social interactions suggest healthy coping and adjustment.

C. The child reports abdominal pain at night when going to bed. Psychosomatic symptoms such as abdominal pain are common in children who have experienced trauma or stress. These physical complaints often reflect unresolved emotional distress.

D. The child is doing well in school: Academic success is not typically associated with trauma symptoms and may reflect stability.

A. Human Dignity B. Ethical decision-making C. Trusting relationships D. Nonmaleficence

Correct Answer is D

Explanation

A. Human dignity: While reporting supports the client’s dignity, this principle focuses more on respecting inherent worth rather than safety.

B. Ethical decision-making: This refers to the process of resolving ethical dilemmas but is not specific to reporting abuse.

C. Trusting relationships: While trust is important, this principle does not directly relate to reporting suspected abuse.

D. Nonmaleficence: Nonmaleficence is the ethical principle of doing no harm. Reporting suspected abuse aligns with the nurse's responsibility to protect the client from harm.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a 9-year-old child in a pediatric clinic. The client's parent shares that they left an abusive partner a year ago and is in a safe place. Which of the following should the nurse identify as a sign the impact violence may have had on the child?

Correct Answer is C

Explanation

A nurse is caring for an older adult client whom the nurse suspects has experienced abuse by a non-partner. Which of the following principles does the nurse demonstrate by reporting their concern to a supervisor?

Correct Answer is D

Explanation

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A nurse is caring for a client who is experiencing a panic attack. Which of the following actions is the nurse's priority?

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