An inpatient on the psychiatric unit is having a panic attack. An appropriate nursing intervention at this time would be to:
Increase external stimuli.
Stay with the client and speak to them in a calm manner.
Allow the client to have their requested space.
Review the updated problem list with the client.
The Correct Answer is B
Choice A Reason:
Increase external stimuli.
Increasing external stimuli is not appropriate during a panic attack. Panic attacks are characterized by intense fear and anxiety, often accompanied by physical symptoms such as rapid heartbeat, sweating, and shortness of breath. Increasing external stimuli can exacerbate these symptoms and heighten the client’s distress. The goal during a panic attack is to reduce stimuli and create a calming environment to help the client regain control.
Choice B Reason:
Stay with the client and speak to them in a calm manner.
This is the correct response. Staying with the client and speaking to them in a calm manner provides reassurance and helps to ground them during the panic attack. The presence of a calm and supportive nurse can help reduce the client’s anxiety and provide a sense of safety. This approach aligns with therapeutic communication techniques and is effective in managing acute anxiety episodes.
Choice C Reason:
Allow the client to have their requested space.
While it is important to respect a client’s need for space, leaving them alone during a panic attack may not be the best approach. Clients experiencing panic attacks may feel overwhelmed and frightened, and the presence of a supportive nurse can help them feel safer and more secure. It is important to balance the client’s need for space with the need for support and reassurance.
Choice D Reason:
Review the updated problem list with the client.
Reviewing the updated problem list is not appropriate during a panic attack. This action requires cognitive engagement and focus, which the client may not be capable of during an acute anxiety episode. The priority during a panic attack is to help the client calm down and manage their immediate symptoms, not to discuss or review problems.
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Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D","E"]
Explanation
Choice A Reason:
Recognizing signs of escalating anxiety is a crucial skill for clients with GAD. This awareness allows them to identify early warning signs and implement coping strategies before anxiety becomes overwhelming. Early recognition can prevent the escalation of symptoms and reduce the impact on daily functioning. This skill is often developed through cognitive-behavioral therapy (CBT) and other therapeutic interventions that focus on self-awareness and self-monitoring.
Choice B Reason:
Avoiding all situations that cause stress is not a practical or effective strategy for managing GAD. While it is important to reduce unnecessary stress, complete avoidance can lead to increased anxiety and avoidance behaviors, which can worsen the disorde. Instead, clients are encouraged to develop coping strategies to manage stress and face anxiety-provoking situations gradually5. This approach helps build resilience and reduces the overall impact of anxiety on their lives.
Choice C Reason:
Recognizing the need to take medications as ordered is essential for effective management of GAD. Medication adherence ensures that the client maintains therapeutic levels of medication, which can help control symptoms and prevent relapse. Non-adherence to medication regimens is a common issue in mental health treatment and can lead to worsening symptoms and increased risk of hospitalization. Therefore, understanding and adhering to prescribed medications is a key component of effective care.
Choice D Reason:
Utilizing relaxation techniques to limit anxiety is a highly effective strategy for managing GAD. Techniques such as deep breathing, progressive muscle relaxation, and mindfulness can help reduce physiological arousal and promote a sense of calm. These techniques are often taught in therapy and can be practiced regularly to help manage anxiety symptoms. Incorporating relaxation techniques into daily routines can significantly improve the client’s ability to cope with stress and anxiety.
Choice E Reason:
Discussing plans to handle panic attacks if they occur is an important aspect of managing GAD. Having a clear plan in place can help the client feel more in control and reduce the fear of experiencing a panic attack. This plan may include strategies such as deep breathing, grounding techniques, and seeking support from trusted individuals. By preparing for potential panic attacks, clients can reduce their overall anxiety and improve their ability to manage symptoms effectively.
Correct Answer is D
Explanation
Choice A Reason:
Pseudo-Parkinsonian side effects, also known as drug-induced parkinsonism, can occur with the use of antipsychotic medications like haloperidol. These side effects include symptoms such as rigidity, bradykinesia, tremor, and postural instability. However, the description of the client’s neck arched sharply backward is more indicative of an acute dystonic reaction rather than pseudo-Parkinsonian side effects. Pseudo-Parkinsonian symptoms typically develop more gradually and do not present with such dramatic posturing.
Choice B Reason:
While some side effects of haloperidol can be temporary and may disappear after several days, the acute dystonic reaction described in the scenario requires immediate intervention. Acute dystonic reactions are characterized by sudden, severe muscle contractions that can be painful and potentially dangerous if they involve the airway. Therefore, it is crucial to address this reaction promptly rather than waiting for it to resolve on its own.
Choice C Reason:
Increasing the dosage of haloperidol in response to the described symptoms would likely exacerbate the situation. The client’s symptoms are not indicative of worsening psychotic behavior but rather an adverse reaction to the medication. Increasing the dosage could lead to more severe side effects and complications. The appropriate response is to treat the acute dystonic reaction and reassess the medication regimen.
Choice D Reason:
An acute dystonic reaction is a known side effect of antipsychotic medications like haloperidol. It involves sudden, severe muscle contractions, often affecting the neck, face, and back. This reaction can be distressing and requires immediate treatment with anticholinergic medications such as benztropine or diphenhydramine. Prompt intervention can relieve the symptoms and prevent further complications.
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