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 ["D","E"]

Explanation

Deep tendon reflexes (DTR):At 1400, the client had diminished reflexes (1+), which is concerning in the context of magnesium sulfate therapy, as it can indicate magnesium toxicity. At 1800, reflexes are 2+, which is normal and shows improvement.

Heart rate:At 1400, the client had bradycardia (heart rate 58 bpm). By 1800, the heart rate had normalized to 78 bpm, indicating an improvement.

Other findings:

Urine output 40 mL in the last hour:Adequate urine output (at least 30 mL/hr) is a sign of improved renal perfusion and hydration status. Earlier, the client had only 20 mL in the last hour, which was concerning.

Temperature 38.3°C (101°F):This indicates a fever, which is not a sign of improvement.

Blood pressure 146/96 mm Hg:Although this is better than a severely hypertensive reading, it is still elevated.

A. Mental Status Examination B. Brief Psychiatric Rating Scale C. Patient Health Questionnaire-9 D. Abnormal Involuntary Movement Scale

Correct Answer is D

Explanation

Answer: D. Abnormal Involuntary Movement Scale

Rationale: The Abnormal Involuntary Movement Scale is a diagnostic tool that assesses the severity of tardive dyskinesia, a disorder that results in involuntary repetitive body movements caused by long-term use of antipsychotic drugs.

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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?

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Naxlex Comprehensive Predictor Exams

Correct Answer is ["D","E"]

Explanation

Other findings:

A nurse is caring for a client who has schizophrenia and is taking an antipsychotic medication. Which of the following screening tools should the nurse use to identify tardive dyskinesia?

Correct Answer is D

Explanation

A nurse is caring for a client who has wrist restraints in place. Which of the following findings indicates that the restraints are applied correctly?

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