A nurse is caring for a client who is has an anxiety disorder and who has begun to hyperventilate, wring her hands, and is pacing the fleer continually. Which of the following actions should the nurse take first?
Tell the client you will remain with her.
Take the client to a quiet rooms.
Ask the client what precipitated this anxiety
offer the client a prescribed anxiety medication
The Correct Answer is A
A: Providing reassurance of presence can help stabilize the client's emotional state by ensuring safety and support.
B: While taking the client to a quiet room can be helpful, the first action should be to reassure her of your presence and support.
C: Inquiring about the cause of anxiety can be useful, but it should not be the first step when the client is actively hyperventilating.
D: Medication might be necessary, but initial reassurance and creating a safe environment take precedence.
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Related Questions
Correct Answer is B
Explanation
A: Incoherent speech is more typical of severe anxiety.
B: Irritability can be a symptom of mild anxiety, where the person may have heightened awareness but still maintains coherence and function.
C: Insomnia is generally associated with more chronic or severe states of anxiety.
D: Chest pain is usually associated with more severe forms of anxiety, such as panic attacks.
Correct Answer is B
Explanation
A: Personality disorders are generally lifelong patterns that do not necessarily emerge in older adulthood.
B: Depression is common among older adults due to various transitions, health declines, and social isolation factors.
C: Somatoform disorders involve the presentation of physical symptoms without a medical cause, not particularly more common in older adults.
D: Schizophrenia typically has an onset in late adolescence or early adulthood; it's less common for new cases to originate in later life.
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