A patient is being treated on the mental health unit for an anxiety disorder. The patient approaches the nurse and reports feeling dizzy and weak, with a sensation of a racing heart. The nursing care plan includes interventions of imagery exercises and as-needed lorazepam (Ativan) for symptoms of anxiety. What should the nurse do first?
Obtain the patient's vital signs.
Give the patient the prescribed as-needed lorazepam.
Instruct the patient to sit and breathe deeply.
Instruct the patient in an imagery exercise.
The Correct Answer is A
Choice A reason: The first step should always be to assess the patient's physical state to rule out any immediate life-threatening conditions before proceeding with psychiatric interventions.
Choice B reason: Administering medication may be necessary, but it should not precede an assessment of the patient's vital signs.
Choice C reason: While instructing the patient to sit and breathe deeply can help alleviate symptoms of anxiety, it is not the first action to take before assessing the patient's vital signs.
Choice D reason: Imagery exercises can be helpful for managing anxiety, but they are not the priority before ensuring the patient's physiological stability.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Patients with antisocial personality disorder often have difficulty adhering to societal norms and rules due to their disregard for the rights of others and lack of remorse for their actions.
Choice B reason: Listening to music is a leisure activity and does not typically involve compliance with rules or regulations, making it less likely to be difficult for the patient.
Choice C reason: Organizing a patient committee may involve cooperation and adherence to guidelines, which could be challenging but is not as fundamental as following hospital rules.
Choice D reason: Playing volleyball is a physical activity and, while it involves following game rules, it is not as comprehensive as abiding by hospital rules.
Correct Answer is C
Explanation
Choice A reason: Echopraxia is the involuntary repetition of another person's movements or actions.
Choice B reason: Word salad refers to a confused or meaningless mixture of words and phrases, often seen in schizophrenia.
Choice C reason: Echolalia is the meaningless repetition of words just spoken by another person, occurring as a symptom of mental conditions.
Choice D reason: Illusion is a false idea or belief, or a deceptive appearance or impression.
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