A nurse is contributing to the plan of care for a client who experiences panic attacks.
Which of the following strategies should be included for implementation during an attack?
Assist the client with evaluating their coping mechanisms.
Explore with the client what precipitates an attack.
Minimize environmental stimuli.
Encourage the client to set goals.
The Correct Answer is C
Choice A rationale
Assisting the client with evaluating their coping mechanisms is a helpful strategy for preventing future panic attacks and managing anxiety in the long term. However, during an acute panic attack, the client's ability to think rationally and evaluate their coping skills is significantly impaired. The immediate focus should be on reducing overwhelming stimuli.
Choice B rationale
Exploring with the client what precipitates an attack is crucial for identifying triggers and developing preventative strategies. However, during an active panic attack, the client is experiencing intense anxiety and may not be able to effectively process or articulate potential triggers. This intervention is more appropriate for periods between attacks.
Choice C rationale
Minimizing environmental stimuli is a key intervention during a panic attack. Panic attacks involve a surge of intense fear and anxiety, often accompanied by sensory overload. Reducing noise, bright lights, and excessive activity in the immediate surroundings can help decrease the client's distress and promote a sense of calm and safety.
Choice D rationale
Encouraging the client to set goals is a therapeutic strategy aimed at promoting a sense of control and accomplishment, which can be beneficial for overall mental health and managing anxiety in the long term. However, during an acute panic attack, the client is likely overwhelmed and unable to focus on goal setting. The immediate priority is to reduce their acute anxiety.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D"]
Explanation
Choice A rationale
Expressing increased comfort with their altered appearance in the mirror indicates a positive step towards acceptance of the changed body image following a mastectomy. This suggests the client is beginning to integrate the physical changes into their self-perception and is moving towards adaptation.
Choice B rationale
Worrying about a partner's perception, while a normal concern, does not necessarily indicate acceptance of the altered body image. It suggests preoccupation with external validation and potential insecurity about the physical changes' impact on the relationship, rather than internal acceptance.
Choice C rationale
Preferring loose-fitting clothing to conceal the changes suggests a desire to hide the altered body rather than accepting it. This behavior indicates a lack of comfort and potentially negative feelings about the mastectomy's physical consequences, hindering the process of body image adaptation.
Choice D rationale
Focusing on recovery and adapting to the changes demonstrates a proactive and accepting attitude towards the altered body image. This statement indicates a willingness to integrate the changes into their life and move forward, signifying a positive adjustment to their post-mastectomy self-perception.
Correct Answer is A
Explanation
Choice A rationale
Asking "Do you feel like your anger is becoming more manageable?" directly assesses the client's subjective experience of their anger levels. This is a crucial indicator of the treatment's effectiveness as it reflects the client's internal perception of change in their emotional regulation. While objective measures are also important, the client's self-report provides valuable insight into the practical impact of therapy on their daily life.
Choice B rationale
Asking "What do you do when something makes you angry?" explores the client's behavioral responses to anger-provoking situations. While this provides information about their coping mechanisms, it doesn't directly evaluate whether their anger is becoming more manageable overall. The client might still be engaging in maladaptive behaviors even if they are learning new strategies.
Choice C rationale
Asking "Did you learn any coping strategies from your counselor?" assesses the client's acquisition of new skills taught in therapy. While learning coping strategies is a goal of anger management, it doesn't necessarily indicate that the client is effectively applying these strategies or experiencing a reduction in the intensity or frequency of their anger.
Choice D rationale
Asking "Have you been attending your anger management group?" evaluates the client's adherence to the treatment plan. While attendance is important for progress, it doesn't directly measure the effectiveness of the therapy itself. A client may attend sessions without actively engaging or experiencing a reduction in their anger.
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.