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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A: Exercise is beneficial for clients with Alzheimer’s disease, as it promotes overall health and can help maintain motor skills.
B: Regular orientation helps maintain cognitive function for as long as possible and provides a sense of security.
C: Large group therapy might be overwhelming and ineffective due to cognitive impairments.
D: While some stimulation is good, an overly stimulating environment can be confusing and anxiety-inducing for someone with Alzheimer's.
Correct Answer is A
Explanation
A: Hallucinations involve perceiving something that isn't actually there, such as seeing snakes on the walls.
B: Delirium is a rapid onset of confusion typically resulting from a physical or mental illness but is not specific to hallucinations.
C: Delusions are false beliefs held despite evidence to the contrary.
D: Psychosis can involve hallucinations but is a broader term that encompasses severe mental disorders.
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