The client is brought to the emergency department with complaint of chest pain, rapid breathing, and palpitations. Cardiovascular event is ruled out, and the client is diagnosed with acute panic attack. The client seems embarrassed and states, "I thought I was going to die." Which is the best response from the nurse?
"Chest pain should always be evaluated."
"But you are okay now."
"It must have been frightening for you."
"We would not let you die."
The Correct Answer is C
A. "Chest pain should always be evaluated.": While true, this response shifts focus away from the client’s emotional experience. It is more clinical than empathetic, and may not validate the client's current distress.
B. "But you are okay now.": This can feel dismissive of the intense fear the client experienced. While intended to reassure, it overlooks the need for emotional validation during recovery from a panic attack.
C. "It must have been frightening for you.": This statement acknowledges and validates the client’s emotional experience. Empathic reflection helps reduce shame and fosters therapeutic rapport during an anxiety crisis.
D. "We would not let you die.": This response may sound comforting but unintentionally minimizes the client’s perceived fear and lacks therapeutic depth. It doesn’t address the emotional intensity of the situation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Pasta: While pasta may contain small amounts of potassium, it is not considered a significant source. It is primarily a carbohydrate and not beneficial for potassium replacement in clients on diuretics like furosemide.
B. Coffee: Coffee contains minimal potassium and may have diuretic properties of its own, which could further contribute to fluid and electrolyte loss. It is not an appropriate choice for potassium supplementation.
C. Peanut butter: Peanut butter is a good dietary source of potassium. Including potassium-rich foods like peanut butter helps prevent hypokalemia, a common side effect of furosemide due to increased urinary potassium excretion.
D. Angel food cake: Angel food cake is low in potassium and mainly composed of sugar and egg whites. It does not offer nutritional value for managing electrolyte balance in clients taking loop diuretics.
Correct Answer is C
Explanation
A. "Removing the tumor is a primary treatment for colon cancer.": Surgical removal is primary in early-stage cancer, but not when metastasis is widespread. At this point, the focus shifts from curative to palliative care.
B. "Once the tumor is removed, cell pathology can be determined.": Pathology is typically confirmed through prior biopsies. Surgery in advanced cases is not usually done for diagnostic purposes.
C. "Tumor removal will promote comfort.": In metastatic colon cancer, surgery is often palliative, aiming to relieve symptoms such as pain, obstruction, or bleeding. The goal is to enhance quality of life.
D. "This surgery will prevent further tumor growth.": With metastasis to the liver and bone, tumor growth is likely ongoing elsewhere. Surgery may reduce local tumor burden but does not prevent systemic progression.
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