A nurse in a mental health facility is reinforcing teaching with a client about panic attacks.Which of the following statements by the client indicates an understanding of the instructions?

"I will sit with others in the activity room until the panic attack subsides."

"I will use abdominal breathing at the first sign of a panic attack."

"I will reduce physical activity to help avoid panic attacks."

"I will expect each panic attack to last about 45 minutes."

Answer and Explanation

The Correct Answer is B

The correct answer is B.

"I will use abdominal breathing at the first sign of a panic attack." The rationale is that abdominal breathing helps calm the sympathetic nervous system, which is responsible for the fight-or-flight response that triggers panic attacks. Abdominal breathing also increases oxygen intake and reduces hyperventilation, which can worsen panic symptoms.

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Correct Answer is C

Explanation

The correct answer is C. The nurse should tell the APs to stop the conversation, as they are violating the client's privacy and confidentiality by discussing their personal information in a public area. This is a breach of ethical and legal principles that can harm the client and expose the healthcare facility to liability. The other actions are not appropriate because they do not address the immediate issue or may escalate the situation unnecessarily. Submitting an incident report may be done after telling the APs to stop, informing the client may cause distress or anger, and documenting the event may not prevent further violations.

A. Increased urinary frequency B. Dry cough C. Metallic taste in mouth D. Excessive sweating

Correct Answer is D

Explanation

Choice A reason:

Increased urinary frequency Increased urinary frequency is not a typical adverse effect of sertraline. However, some individuals may experience changes in urinary habits due to various factors, but it is not directly related to sertraline use.

Choice B reason

Dry cough Dry cough is not a commonly reported adverse effect of sertraline. Cough is not a typical symptom associated with this medication.

Choice C reason

Metallic taste in the mouth While some individuals may experience changes in taste as a side effect of sertraline, a metallic taste in the mouth is not one of the commonly reported adverse effects. Taste changes are usually mild and temporary.

Choice D reason

Sertraline is a selective serotonin reuptake inhibitor (SSRI) antidepressant commonly used to treat conditions like depression, anxiety disorders, and obsessive-compulsive disorder. While most individuals tolerate sertraline well, it can cause certain adverse effects, and excessive sweating (also known as diaphoresis) is one of them.

Excessive sweating is a common side effect of sertraline and other SSRIs. It can manifest as increased sweating during the day or night, even in cooler environments. The degree of sweating can vary among individuals, and some may experience it more than others.

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A nurse in a mental health facility is reinforcing teaching with a client about panic attacks.Which of the following statements by the client indicates an understanding of the instructions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse overhears two assistive personnel (AP) in the nurses' station discussing a client who was recently admitted. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is providing teaching to a client about the adverse effects of sertraline. Which of the following adverse effects should the nurse include?

Correct Answer is D

Explanation

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