A client is experiencing a panic attack characterized by intense fear, hyperventilation, chest pain, and feelings of impending doom. Which nursing intervention is most appropriate to help the client during this panic stage?
Administer a sedative medication.
Encourage the client to talk about their feelings and provide a quiet environment to reduce stimulation.
Engage the client in detailed problem-solving to distract from the anxiety.
Allow the client to express feelings fully without offering any guidance or redirection.
The Correct Answer is B
Choice A reason: Sedative medications may be used in severe cases, but immediate nursing care focuses on nonpharmacologic interventions to ensure safety and reduce stimulation. Medication is not the first-line action.
Choice B reason: Providing a calm environment with reduced external stimuli while encouraging expression of feelings helps the client regain control and decreases anxiety during a panic episode. This is the most appropriate nursing intervention.
Choice C reason: Detailed problem-solving requires higher-level cognitive functioning, which is impaired during a panic attack. Attempting this intervention may increase the client’s distress.
Choice D reason: Allowing expression without guidance offers no therapeutic support and may leave the client overwhelmed by panic symptoms, prolonging the episode.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: This describes tactile hallucinations, a false sensory experience, not a delusion of reference.
Choice B reason: This reflects a persecutory delusion, where the client believes they are being harmed or targeted, not a delusion of reference.
Choice C reason: This illustrates an auditory hallucination with command-type voices, not a delusion of reference.
Choice D reason: Believing that unrelated environmental cues (like a song) carry special, hidden meaning specifically for the client is the hallmark of a delusion of reference.
Correct Answer is C
Explanation
Choice A reason: While silence may sometimes convey understanding, its primary therapeutic purpose in communication is to allow the patient time to think or reflect, not simply to indicate understanding.
Choice B reason: Prolonged silence may cause withdrawal in some patients, but this is not the guiding principle in therapeutic communication. The focus should be on the value of reflection.
Choice C reason: Silence provides the patient with opportunities for reflection and processing of thoughts and emotions. It encourages deeper expression and supports therapeutic dialogue.
Choice D reason: The nurse is not always responsible for breaking silence. Sometimes allowing the patient to break the silence themselves is more therapeutic and empowering.
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