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. Pulling out their hair (Correct): Trichotillomania is a mental health disorder characterized by the repetitive pulling out of one's hair. This behavior often serves as a way to cope with anxiety or negative emotions. It's the defining characteristic of the condition.
b. Pretending to be sick: Malingering, or pretending to be sick for secondary gain, is not a characteristic behavior of Trichotillomania.
c. Aphanie: Aphanie is a complete or partial loss of the sense of touch. It's not related to anxiety relief or Trichotillomania.
d. Amnesia: Amnesia is memory loss. While anxiety can be a contributing factor in some amnestic cases, it's not a behavior used to relieve anxiety.

A. Encourage the client to ignore these thoughts and feelings. B. Promote safety and immediately terminate the relationship with the client. C. Immediately reassign the client to another staff member. D. Help the client to clarify the meaning of the relationship, based on the present situation.

Correct Answer is D

Explanation

a. Encourage the client to ignore these thoughts and feelings: This invalidates the client's experience and might hinder the therapeutic relationship.
b. Promote safety and immediately terminate the relationship with the client: Termination is a last resort, and transference can be a valuable tool for therapy if addressed constructively.
c. Immediately reassign the client to another staff member: This avoids the issue and doesn't address the underlying cause of transference.
d. Help the client to clarify the meaning of the relationship, based on the present situation. (Correct) Transference is a phenomenon where a client unconsciously redirects emotions and feelings from significant figures in their past onto the nurse. A therapeutic response involves acknowledging these feelings and helping the client explore them in a safe and supportive environment

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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

A client is diagnosed with Trichotillomania. The client has relieved the anxiety over the years by doing what type of behavior?

Correct Answer is A

Explanation

If a client demonstrates transference towards the nurse, how should the nurse respond?

Correct Answer is D

Explanation

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