Which of the following would be the best nursing action for a client who is having a panic attack?

Remain with the client

Ask the client to describe what was happening before the anxiety began

Instruct the client to remain alone until the symptoms subside

Teach the client to recognize signs of a panic attack

Answer and Explanation

The Correct Answer is A

a. Remain with the client: This is correct because staying with the client provides reassurance and safety, which is crucial during a panic attack.
b. Ask the client to describe what was happening before the anxiety began: While understanding triggers is important, this is not the immediate action during a panic attack when the client needs reassurance.
c. Instruct the client to remain alone until the symptoms subside: This is incorrect as being alone can increase the client’s anxiety and panic.
d. Teach the client to recognize signs of a panic attack: Education is important but should be done after the acute symptoms have subsided. The immediate priority is to provide comfort and safety.

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Correct Answer is A

Explanation

a. Recovery from anorexia nervosa is a marathon, not a sprint. Setting small, achievable goals like understanding the importance of nutrition is crucial for initial progress.
b. Aiming for immediate, perfect dietary adherence is unrealistic and can be discouraging. Building healthy eating habits takes time and support.
c. Unrealistic weight gain goals can be demotivating and potentially harmful. Weight gain should be gradual and monitored by a healthcare professional.
d. A sudden high-calorie diet can be overwhelming for someone with a restricted eating pattern and could lead to gastrointestinal distress.

A. "Focus on the feelings generated by the hallucinations and present reality." B. Ignore what they are saying, while attempting to discover the underlying cause." C. "Present objective evidence that the voices are not real." D. Tell them to stop discussing the voices.

Correct Answer is A

Explanation

a. "Focus on the feelings generated by the hallucinations and present reality." This approach validates the child's experience and feelings while gently orienting them to reality, which is a therapeutic communication technique.
b. "Ignore what they are saying, while attempting to discover the underlying cause." Ignoring the child’s statements can make them feel dismissed and could increase their distress. It is important to address their experience directly and compassionately.
c. "Present objective evidence that the voices are not real." Presenting objective evidence may not be effective as the child’s belief in the voices can be very strong, and this approach may lead to further agitation.
d. "Tell them to stop discussing the voices." This approach is dismissive and does not help the child manage their symptoms or feel understood. It is important to engage with the child’s experience constructively.

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Which of the following would be the best nursing action for a client who is having a panic attack?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

While planning care for a client with anorexia nervosa, the nurse determines that a realistic outcome would be that the client will:

Correct Answer is A

Explanation

Parents ask a nurse how they should reply when their child, diagnosed with schizophrenia disorder, tells them that voices command the child to harm others. Which is the appropriate nursing response?

Correct Answer is A

Explanation

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