The nurse is caring for a client who is being treated in the emergency department for a panic attack. Which of the following nursing interventions would be most appropriate?

Demonstrate empathy for the client by trying to mimic the client's state of anxiety.

Tell the client that you must leave to go report his symptoms to the psychiatrist on duty.

Tell the client this is an acute exacerbation with a positive prognosis and low morbidity.

Stay with the client, emphasizing that he is safe and that you will remain with him.

Answer and Explanation

The Correct Answer is D

A. Demonstrate empathy for the client by trying to mimic the client's state of anxiety. This is not appropriate as it could exacerbate the client’s anxiety rather than alleviate it. The nurse should remain calm and provide reassurance.

B. Tell the client that you must leave to go report his symptoms to the psychiatrist on duty. Leaving the client alone during a panic attack could increase their feelings of fear and isolation, worsening the situation.

C. Tell the client this is an acute exacerbation with a positive prognosis and low morbidity. While this information is correct, it does not directly address the client's immediate need for reassurance and safety during the panic attack.

D. Stay with the client, emphasizing that he is safe and that you will remain with him. This is the most appropriate intervention as it provides the client with a sense of safety and security, which is crucial during a panic attack.

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Correct Answer is B

Explanation

A. Generalized pain: Generalized pain is not a typical early sign of deterioration following a hemorrhagic stroke.

B. Alteration in level of consciousness (LOC): An alteration in LOC is often the earliest and most sensitive sign of neurological deterioration in clients who have had a hemorrhagic stroke. This can indicate increased intracranial pressure or further bleeding.

C. Tonic-clonic seizures: While seizures can occur after a stroke, they are not typically the earliest sign of deterioration. Changes in LOC usually precede seizure activity.

D. Shortness of breath: Shortness of breath may indicate respiratory issues but is not directly related to early neurological deterioration following a stroke.

A. Repetitive thoughts and recurring impulses B. Physical signs and symptoms with no physiologic cause C. Apprehension D. Inability to concentrate

Correct Answer is A

Explanation

A. Repetitive thoughts and recurring impulses: OCD is characterized by obsessions (repetitive, intrusive thoughts) and compulsions (recurring impulses or behaviours performed to reduce anxiety). This choice best describes the core features of OCD.

B. Physical signs and symptoms with no physiologic cause: This description does not accurately describe OCD. While OCD symptoms are distressing and impairing, they are not typically categorized as having no physiologic cause.

C. Apprehension: Apprehension or general anxiety can be associated with many mental health disorders, but it is not specific to OCD, which is more about the presence of obsessions and compulsions rather than generalized apprehension.

D. Inability to concentrate: While inability to concentrate can be a symptom in various mental health disorders, it is not specific to OCD. OCD is more specifically characterized by repetitive thoughts and actions.

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The nurse is caring for a client who is being treated in the emergency department for a panic attack. Which of the following nursing interventions would be most appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client who had a hemorrhagic stroke. What assessment finding constitutes an early sign of deterioration?

Correct Answer is B

Explanation

A client is admitted to an inpatient psychiatric unit for treatment of obsessive-compulsive symptoms. Obsessive- compulsive disorder (OCD) is associated with:

Correct Answer is A

Explanation

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