A nurse is assessing a client with panic disorder.
Which statement by the nurse would be appropriate during the assessment?
"Tell me about your coping strategies and support system.".
"How often do you experience panic attacks and what triggers them?".
"What medications are you currently taking for your panic disorder?".
"Have you ever had any laboratory tests done for your panic disorder?".
The Correct Answer is A
Choice A rationale:
"Tell me about your coping strategies and support system." This is an appropriate statement during the assessment of a client with panic disorder. Understanding the client's coping mechanisms and support system can help the nurse tailor the care plan to the client's specific needs and strengths.
Choice B rationale:
"How often do you experience panic attacks and what triggers them?" While this question may be relevant, it focuses primarily on the frequency and triggers of panic attacks. While this information is important, it doesn't address coping strategies or support systems, which are equally important aspects of the assessment.
Choice C rationale:
"What medications are you currently taking for your panic disorder?" This question is essential for medication management but does not directly address coping strategies or support systems, which are more pertinent to the assessment in this context.
Choice D rationale:
"Have you ever had any laboratory tests done for your panic disorder?" This question is not relevant to the assessment of panic disorder. Panic disorder is primarily diagnosed based on clinical criteria and does not require specific laboratory tests.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is Choice D.
Choice A rationale: Depression assessment is important in bariatric care, but postoperative priorities focus on physiologic risks—venous thromboembolism, pulmonary complications, bleeding, and leaks—heightened by obesity, diabetes, hypertension, and immobility; psychosocial screening is longitudinal.
Choice B rationale: Urinary incontinence is not a typical complication of gastroplasty. Immediate risks include venous thromboembolism, pulmonary issues, hemorrhage, anastomotic leak, and infection; prioritizing VTE prophylaxis and respiratory support offers morbidity reduction.
Choice C rationale: Early post-gastroplasty nutrition requires staged progression: clear liquids to pureed, tiny portions, high-protein focus, vitamin-mineral supplementation. Offering meal variety risks overeating, nausea, vomiting, dumping syndrome, and staple-line stress or disruption.
Choice D rationale: Sequential compression devices augment venous return, reduce stasis, and lower deep vein thrombosis and pulmonary embolism risk in obese, diabetic, hypertensive surgical patients with limited mobility; evidence-based venous thromboembolism prophylaxis.
Correct Answer is D
Explanation
Choice A rationale:
Continue with the blood pressure assessment. Continuing with the blood pressure assessment without addressing the observed auscultatory gap could lead to an inaccurate reading. It's important to investigate and note the presence of an auscultatory gap before proceeding with the assessment.
Choice B rationale:
Reposition the stethoscope over the brachial artery. Repositioning the stethoscope may not resolve the issue of hearing silence followed by a Korotkoff sound. It is important to assess the situation further before making adjustments.
Choice C rationale:
Reinflate the cuff to a higher number. Reinflating the cuff to a higher number without addressing the auscultatory gap can result in an inaccurate reading. The presence of an auscultatory gap should be noted and managed appropriately.
Choice D rationale:
Note the presence of an auscultatory gap. This is the correct choice. An auscultatory gap is a temporary disappearance of sounds during the blood pressure measurement, and it may indicate underlying cardiovascular issues. The nurse should note its presence, document it, and take appropriate action if necessary.
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