he nurse observes the client experiencing a panic attack in the day room in the behavioral health unit. Which is the priority action by the nurse?

Educate the client in ways to prevent a future panic attack.

Take the client for a walk around the unit

Stay with the client and maintain a safe environment

Redirect the client to an activity or task

Answer and Explanation

The Correct Answer is C

During a panic attack, the client may experience intense fear and anxiety, accompanied by physical symptoms such as rapid heart rate, shortness of breath, and trembling. The most critical action the nurse should take is to stay with the client and provide support. By remaining present, the nurse can help the client feel safe and reassured, while also monitoring their condition for any signs of worsening distress or the need for further intervention. Maintaining a safe environment is also crucial to prevent any harm to the client or others. Once the immediate crisis is managed and the client starts to calm down, the nurse can then proceed with other interventions, such as education on coping strategies or engaging in activities to redirect their focus. However, in this situation, the priority is to provide immediate support and ensure the client's safety.

The following are incorrect because:

Educate the client in ways to prevent a future panic attack: While education on preventing future panic attacks is important, it is not the priority action during an ongoing panic attack. The client is currently in distress and needs immediate support and assistance in managing the panic attack. Education can be provided at a later time when the client is calmer and more receptive to learning.

Take the client for a walk around the unit: Taking the client for a walk may be a beneficial intervention to help reduce anxiety and promote relaxation in some situations. However, during an active panic attack, the client may be experiencing significant distress and physical symptoms that can make movement difficult or exacerbate their symptoms. It is essential to prioritize the client's immediate needs and provide a supportive environment before considering other activities or interventions.

Redirect the client to an activity or task: Redirecting the client to an activity or task may be helpful in some situations to distract them from their anxiety. However, during a panic attack, the client may find it challenging to engage in activities or focus on tasks due to their heightened state of anxiety. Redirecting their attention without addressing their immediate distress may not be as effective or appropriate as providing support and maintaining a safe environment.

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Correct Answer is ["2"]

Explanation

To determine the number of capsules the nurse will administer, we need to consider the dosage prescribed and the available strength of the capsules.

The prescription states: cephalexin (Keflex) 0.5 g p.o. qid (four times a day).

Given that the available strength of cephalexin capsules is 250 mg, we need to convert the prescribed dosage from grams (g) to milligrams (mg) to match the capsule strength.

1 g = 1000 mg

0.5 g = 0.5 * 1000 mg = 500 mg

Now we know that the prescribed dosage is 500 mg, and each capsule contains 250 mg.

To calculate the number of capsules needed, we divide the prescribed dosage by the strength of each capsule:

Number of capsules = Prescribed dosage / Capsule strength

Number of capsules = 500 mg / 250 mg

Number of capsules = 2

Therefore, the nurse will administer 2 capsules of cephalexin (Keflex) for each dose.

A. Meet with a therapist on a weekly basis. B. Fulfill daily responsibilities without supervision. C. Use the increased emotional support of paid staff. D. Resolve crises within a shorter time period. E. Resolve crises within a shorter time period.

Correct Answer is B

Explanation

The transition from a group home to an evolving consumer household typically involves promoting independence and empowering the client to become more self-sufficient. The ultimate goal is to enable the client to fulfill their daily responsibilities without the need for constant supervision or assistance.

The others are incorrect:

While meeting with a therapist on a weekly basis may be part of the client's overall mental health support, it is not the specific goal of transitioning to an evolving consumer household.

Using the increased emotional support of paid staff may be a temporary measure during the transition period, but the long-term goal is for the client to become self-reliant and less dependent on constant emotional support.

Resolving crises within a shorter time period is a desirable outcome for any mental health support system, but it does not directly relate to the specific goal of fulfilling daily responsibilities without supervision.

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he nurse observes the client experiencing a panic attack in the day room in the behavioral health unit. Which is the priority action by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Order: cephalexin (Keflex) 0.5 gp.o. qid. Available: cephalexin (Keflex) 250 mg capsules. How many capsules will the nurse administer?

Correct Answer is ["2"]

Explanation

A client is being transferred from a group home to an evolving consumer household. The goal of this transition is for the client to eventually do what?

Correct Answer is B

Explanation

The nurse is preparing a client for a magnetic resonance imaging (MRI). Which statement(s) by the client would require the nurse to notify the health care provider to cancel the procedure? Select all that apply. (Select All that Apply.)

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A nurse is assisting a client who is working on the technique of systematic desensitization. Which statement made by the nurse best uses the principle of technique?

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A client has been started on antidepressants. Which interdisciplinary team member is most responsible for monitoring effectiveness and side effects of this new medication?

1 oz (ounce)=_____mL

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