A nurse in an acute mental health facility observes a client having a panic attack. Which of the following interventions should the nurse implement first?

Discuss the client's feelings prior to the panic attack.

Encourage the use of positive self-talk strategies.

Instruct the client to use abdominal breathing.

Administer an antianxiety medication.

Answer and Explanation

The Correct Answer is C

A.   Discussing the client's feelings prior to the panic attack may be helpful during a debriefing session but is not the priority during an acute panic attack.
B.   While positive self-talk strategies can be beneficial for managing anxiety, they may not be effective during the acute phase of a panic attack when the client is experiencing overwhelming symptoms.
C.   Instructing the client to use abdominal breathing helps to regulate breathing patterns and reduce the intensity of the panic attack by activating the parasympathetic nervous system.
D.   Administering an antianxiety medication may be necessary in severe cases of panic attacks, but it is not typically the first intervention. Non-pharmacological techniques such as breathing exercises should be attempted first.

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Correct Answer is C

Explanation

A. Vitamin C: While a vegan diet may limit sources of vitamin C, it is typically abundant in fruits and vegetables, so deficiency is less likely.
B. Potassium: Potassium deficiency is not typically associated with a vegan diet, as plant-based foods such as fruits, vegetables, legumes, and nuts are good sources of potassium.
C. Vitamin D: Vitamin D is primarily found in animal products, so individuals following a vegan diet may be at risk of deficiency unless they consume fortified foods or supplements.
D. Magnesium: While magnesium deficiency can occur in anyone with an inadequate intake of magnesium-rich foods, it's not necessarily more common in vegans compared to omnivores.

A. "I will take a stool softener to prevent constipation." B. "I will ask to work the night shift, so I will not be driving in bright sunlight." C. "I will need to use my eye drops for 1 year." D. "I will need to follow a low-protein diet."

Correct Answer is C

Explanation

Rationale for A: Straining during bowel movements can increase intraocular pressure, which is harmful for clients recovering from glaucoma surgery. Using stool softeners helps prevent constipation and reduces the risk of increased intraocular pressure.

Rationale for B: Avoiding bright sunlight is not necessary for postoperative care after laser surgery for glaucoma. The use of protective eyewear or sunglasses when outdoors may be recommended, but altering work shifts is not typically advised.

Rationale for C: While eye drops are essential in managing glaucoma, the duration of their use will depend on the client’s condition and follow-up appointments. Long-term use is often required, but the exact duration is individualized.

Rationale for D: A low-protein diet is not a typical part of postoperative care for glaucoma. Dietary restrictions related to glaucoma typically focus on maintaining overall health, but protein intake is not specifically restricted.

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A nurse in an acute mental health facility observes a client having a panic attack. Which of the following interventions should the nurse implement first?

Nursing Test Bank

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