A nurse in a mental health facility is caring for a client who is experiencing a panic level of anxiety. Which of the following actions should the nurse take?
Tell the client to sit alone in a private place and reflect on the situation.
Use short sentences when communicating with the client
Have the client journal about what is happening to him
Encourage the client to talk about his feelings.
The Correct Answer is B
Rationale:
A. Tell the client to sit alone in a private place and reflect on the situation: Clients in a panic state are overwhelmed, disorganized, and unable to focus. Leaving them alone can increase feelings of isolation and fear, worsening the anxiety.
B. Use short sentences when communicating with the client: During panic-level anxiety, the client's ability to process information is impaired. Clear, concise communication helps reduce confusion and provides a sense of control and safety.
C. Have the client journal about what is happening to him: Journaling requires introspection and cognitive organization, which are not possible when a client is in a panic state. This intervention is more appropriate once anxiety levels have decreased.
D. Encourage the client to talk about his feelings: While verbalizing emotions is therapeutic, a client in panic may not be able to articulate thoughts. The priority is to first reduce the anxiety to a manageable level using calm, simple guidance.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Place the oxygen tank away from curtains or drapes: Oxygen supports combustion, so tanks must be kept away from flammable materials such as curtains or drapes. This placement reduces fire risk and ensures safe home oxygen use.
B. Store the oxygen tank wrench in a locked cabinet: The tank wrench should remain attached to or easily accessible near the tank for emergency shut-off. Locking it away could delay quick responses during equipment malfunction or fire hazards.
C. Ensure that the client checks the gauge weekly: Oxygen tank levels should be checked daily to prevent running out unexpectedly. Waiting a week between checks increases the risk of the tank depleting before a refill is arranged.
D. Have the client store smaller tanks under his bed: Storing tanks under the bed poses a fire hazard due to limited ventilation and proximity to bedding. Oxygen tanks should be stored upright in a secure, well-ventilated area away from heat sources.
Correct Answer is D
Explanation
Rationale:
A. ½ cup apple juice: Apple juice contains a relatively low amount of potassium, making it a poor choice for correcting hypokalemia. It typically provides less than 150 mg per half-cup serving.
B. ½ cup steamed cauliflower: Cauliflower is low in potassium compared to other vegetables. While healthy, it does not significantly contribute to raising potassium levels in the body.
C. 1 cup boiled white rice: White rice has minimal potassium content, especially when boiled. It is not effective in increasing potassium and is typically suitable for clients requiring low-potassium diets.
D. 1 cup cantaloupe: Cantaloupe is high in potassium, offering around 400–500 mg per cup. It is among the best fruit sources for replenishing potassium and is appropriate for clients with mild hypokalemia.
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