Exhibits

Doug has been seen in the ER for his anxiety that has escalated to a panic attack. He thought he was dying because his symptoms were very similar to a heart attack with tingling in his fingers, pain in his chest, and difficulty breathing. He was even starting to feel out of sorts due to his lack of oxygen related to his low SPO2 levels related to his hyperventilation. In class we discussed it being caused by respiratory alkalosis. In the left column there are items that will require follow up by either the nurse or Doug to maintain a successful plan of care upon discharge. If they are for the nurse she must educate Doug, if they are for Doug, he must comply with the plan...either way if they require follow up, place a check in the FOLLOW UP Column, if they don't place a check in the N/A Column. Each item will have one check in one of the columns.

Controlling son's success

Focus on the Positives

Better Relationship with Son

Techniques to Manage Stress

Energy Drinks

Conflict Resolution

Answer and Explanation

The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"A"}}

Controlling son's success: This does not directly relate to Doug’s health or anxiety management plan, so it falls under N/A.

Focus on the positives: Encouraging positive thinking can improve Doug's coping skills, making it a follow-up item.

Better relationship with son: Addressing family dynamics can improve Doug's overall mental health, requiring follow-up.

Techniques to manage stress: Essential for managing anxiety and preventing future panic attacks, requiring follow-up.

Energy drinks: Caffeine can exacerbate anxiety symptoms, making this a follow-up item.

Conflict resolution: Managing interpersonal conflict is key to reducing stress, requiring follow-up.

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Correct Answer is ["A","B","C","E"]

Explanation

A. The client has anal bleeding: Physical trauma such as bleeding may occur from sexual abuse.

B. The client complains of pelvic soreness: Pelvic soreness is a common physical manifestation following sexual assault.

C. The client has bruising around the breasts: Bruising in areas commonly targeted during assault can indicate abuse.

D. The client has a scar on their inner thigh: A scar is indicative of past injury but does not directly confirm recent sexual abuse.

E. The client's underwear is bloody: Blood-stained undergarments may be evidence of trauma.

A. Offer the client high-calorie fluids. B. Administer an antianxiety medication to the client. C. Teach the client relaxation exercises. D. Remain with the client in a quiet area.

Correct Answer is D

Explanation

A. Offer the client high-calorie fluids: This is not a priority during a panic attack. Addressing physical needs comes later.

B. Administer an antianxiety medication to the client: Medication may be part of treatment but is not the immediate priority.

C. Teach the client relaxation exercises: Relaxation exercises are valuable but should be introduced after the acute phase of the panic attack has passed.

D. Remain with the client in a quiet area. Remaining with the client provides reassurance, safety, and emotional support, which are critical during a panic attack.

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Naxlex Comprehensive Predictor Exams

A nurse in the emergency department is caring for a client who reports having experienced sexual abuse. The nurse should identify which of the following findings are consistent with the client's report? (Select All that Apply.)

Correct Answer is ["A","B","C","E"]

Explanation

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

Correct Answer is D

Explanation

A nurse in an emergency department often sees victims of intimate partner violence. Which of the following actions should the nurse take when caring for victims of violence?

A nurse is caring for a client who has an anxiety disorder. Which of the following findings should the nurse recognize as a manifestation of mild anxiety?

A nurse is collecting data from a client who reports that he has obsessive-compulsive disorder (OCD). Which of the following d findings should the nurse expect? (Select all that apply.)

A nurse is collecting the medical history of a client. The client reports that they have experienced violence in the past with a previous partner. What is an immediate concern of the nurse?

Select which statement about ANGER is true.

A nurse is caring for a client who has been admitted for a psychiatric evaluation after displaying aggressive behavior towards their partner and 2-year-old child. Which of the following client statements should the nurse identify as potentially contributing to aggression?

A client is pacing in the hallway with clenched fists and a flushed face. They are yelling and cursing loudly. Which phase of the aggression cycle is this client in?