A nurse is caring for a client who is has an anxiety disorder and who has begun to hyperventilate, wring her hands, and is pacing the fleer continually. Which of the following actions should the nurse take first?
Tell the client you will remain with her.
Take the client to a quiet rooms.
Ask the client what precipitated this anxiety
offer the client a prescribed anxiety medication
The Correct Answer is A
A: Providing reassurance of presence can help stabilize the client's emotional state by ensuring safety and support.
B: While taking the client to a quiet room can be helpful, the first action should be to reassure her of your presence and support.
C: Inquiring about the cause of anxiety can be useful, but it should not be the first step when the client is actively hyperventilating.
D: Medication might be necessary, but initial reassurance and creating a safe environment take precedence.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A: A change in preference does not indicate delirium.
B: Suspicions of poisoning may suggest delusion but not specifically delirium.
C: Confusion about time and the recent presence of family members are typical signs of delirium.
D: Requesting extra blankets in a warm room may indicate altered thermal perception but is not a clear indicator of delirium.
Correct Answer is B
Explanation
A: Physical loss typically refers to the loss of a body part or function directly due to physical changes.
B: Functional loss refers to a decrease in the ability to perform activities of daily living, such as bathing and dressing, which is common in Alzheimer's disease.
C: Affective loss relates to emotional or psychological losses.
D: Conative loss would pertain to motivation or volition, not directly related to physical activities like bathing or dressing.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.