Which would be an appropriate intervention for a client experiencing an anxiety attack?
Staying with the client and speaking in short sentences.
Turning on the lights and opening the windows so that the client does not feel crowded.
Turning on stereo music.
Leaving the client alone.
The Correct Answer is A
Choice A reason: Staying with the client and speaking in short sentences is the most appropriate intervention. During an anxiety attack, the client may feel overwhelmed and unable to process complex information. The nurse’s presence provides reassurance and safety, while short, simple communication helps reduce confusion and promotes calmness.
Choice B reason: Turning on lights and opening windows may not be helpful and could overstimulate the client. Anxiety attacks require a calm, controlled environment rather than additional sensory input.
Choice C reason: Turning on stereo music is inappropriate because it can increase stimulation and worsen anxiety. Clients experiencing panic attacks need a quiet, supportive environment.
Choice D reason: Leaving the client alone is unsafe. Clients in acute anxiety may feel abandoned, which can intensify their panic and increase the risk of harm. The nurse’s presence is essential for reassurance and monitoring.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Excessive sweating and muscle twitching are potential signs of serotonin syndrome, a serious and potentially life-threatening adverse effect of sertraline and other SSRIs. Recognizing these symptoms and reporting them immediately to the provider demonstrates appropriate understanding of the medication’s risks. This response shows the client is aware of when to seek urgent medical attention.
Choice B reason: A dry cough is not a common or expected side effect of sertraline. This symptom is more often associated with ACE inhibitors used for hypertension. Associating sertraline with a dry cough reflects a misunderstanding of the medication’s side effect profile.
Choice C reason: Decreasing sodium intake is not required when taking sertraline. Sodium restriction is relevant for conditions such as hypertension or heart failure, but it is not a precaution with SSRIs. This statement shows a lack of understanding of the medication.
Choice D reason: Harmless, temporary changes to taste and smell are not typical side effects of sertraline. SSRIs are more commonly associated with gastrointestinal upset, sexual dysfunction, or sleep disturbances. This statement reflects inaccurate information.
Correct Answer is D
Explanation
Choice A reason: Setting strict limits on behaviors is not therapeutic for OCD. It can increase anxiety and resistance, as compulsions are driven by uncontrollable urges to reduce distress.
Choice B reason: Informing the client that ritualistic behaviors serve no purpose invalidates their experience and can increase anxiety. Clients with OCD are often aware their behaviors are irrational but feel compelled to perform them.
Choice C reason: Isolation is inappropriate and harmful. It does not address the client’s needs and can worsen anxiety and compulsive behaviors.
Choice D reason: Allowing time for rituals is the correct intervention. Initially, the nurse should accommodate the client’s compulsions to reduce anxiety and build trust. Over time, therapeutic interventions can gradually help the client reduce ritualistic behaviors.
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