A nurse is working with a client with a history of panic attacks. During group therapy, the nurse notes the client begins to tap their foot, becomes mildly anxious, and is pushing away, preparing to leave the group. The nurse Instructs the client to remain seated and asks if they would like to use their journal to write down some thoughts while the group resumes. What phase of crisis care Is the nurse implementing?
Phase One - Assessment
Phase Two-Planning
Phase Three - Intervention
Phase Four - Evaluation
The Correct Answer is C
In this phase, the nurse takes action to help the client manage their anxiety and prevent a panic attack. By instructing the client to remain seated and offering them the opportunity to use their journal, the nurse is providing a calming and grounding intervention that can help the client regain control of their emotions and remain engaged in the group therapy session.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
To address the client’s cultural needs, the most appropriate nursing action would be to ask the client directly about their specific cultural needs and preferences. This allows the nurse to provide care that is tailored to the individual client and respects their cultural beliefs and practices.
Correct Answer is ["A","B","C"]
Explanation
A. Sharing personal information with a client is a boundary violation, as it blurs the professional relationship and creates a risk for the client to become involved in the nurse's personal issues.
B. Making plans to have lunch with a client after discharge is also a boundary violation, as it can be interpreted as crossing the professional boundary and compromising the nurse's objectivity and impartiality.
C. Agreeing to keep a secret from a client can also be a boundary violation, as it may interfere with the nurse's professional judgment and duty to protect the client's safety and well-being.
D. Allowing a client to hold the nurse's hand before chemotherapy is not necessarily a boundary violation, as this can be a form of emotional support that is appropriate in some circumstances.
E. Reading a 'get-well' card to a client is not a boundary violation, as it is a form of emotional support that is appropriate and professional.
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