A nurse is caring for a client who has panic disorder. The client tells the nurse she is suddenly feeling very apprehensive, has a sense that something catastrophic is going to happen, and that she sees bugs flying around her room. Which of the following actions should the nurse take first?

Reinforce reality with the client.

Instruct the client to take deep breaths.

Assist the client to identify the cause of the anxiety.

Administer an antianxiety medication to the client.

Answer and Explanation

The Correct Answer is B

A. Reinforce reality with the client. While reinforcing reality can help in addressing the client's hallucinations (seeing bugs), it may not be the immediate priority when the client is experiencing severe panic.

B. Instruct the client to take deep breaths: Helping the client to take deep breaths can provide immediate relief from acute anxiety by promoting relaxation and helping to reduce the physiological symptoms of panic. Once the client is calmer, other interventions can be considered.

C. Assist the client to identify the cause of the anxiety: Insight into triggers is more appropriate after the acute episode resolves.

D. Administer an antianxiety medication to the client: While this may be necessary, it is not the immediate first action in this scenario.

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Correct Answer is C

Explanation

A. The child participates in school activities: Participation in activities may suggest resilience and a return to normalcy, rather than a sign of trauma.

B. The child talks about best friends at school: Positive social interactions suggest healthy coping and adjustment.

C. The child reports abdominal pain at night when going to bed. Psychosomatic symptoms such as abdominal pain are common in children who have experienced trauma or stress. These physical complaints often reflect unresolved emotional distress.

D. The child is doing well in school: Academic success is not typically associated with trauma symptoms and may reflect stability.

A. A 6-year-old child who has a fracture of the tibia and fibula, which reportedly occurred while riding a bicycle B. A 9-month-old infant who sustained near drowning when he reportedly climbed into the tub and turned on the water C. A 3-year-old toddler with scalding burns over the face and chest reportedly sustained when the child pulled on tablecloth, spilling a cup of tea on himself. D. A 14-month-old toddler who is reportedly learning to walk and has several bruises on bony prominences of the lower legs and elbows.

Correct Answer is B

Explanation

A. A 6-year-old child who has a fracture of the tibia and fibula, which reportedly occurred while riding a bicycle: This injury is consistent with the developmental activities of a 6-year-old.

B. A 9-month-old infant who sustained near drowning when he reportedly climbed into the tub and turned on the water. At 9 months, an infant does not have the developmental ability to climb into a tub and turn on the water, making this account suspicious.

C. A 3-year-old toddler with scalding burns over the face and chest reportedly sustained when the child pulled on a tablecloth, spilling a cup of tea on himself: This explanation aligns with typical accidents in toddlers.

D. A 14-month-old toddler who is reportedly learning to walk and has several bruises on bony prominences of the lower legs and elbows: These are common injuries in toddlers learning to walk.

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A nurse is caring for a client who has panic disorder. The client tells the nurse she is suddenly feeling very apprehensive, has a sense that something catastrophic is going to happen, and that she sees bugs flying around her room. Which of the following actions should the nurse take first?

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Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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A nurse is caring for a client who has panic disorder. The client tells the nurse she is suddenly feeling very apprehensive, has a sense that something catastrophic is going to happen, and that she sees bugs flying around her room. Which of the following actions should the nurse take first?