Which of the following would be the best nursing action for a client who is having a panic attack?

Remain with the client

Ask the client to describe what was happening before the anxiety began

Instruct the client to remain alone until the symptoms subside

Teach the client to recognize signs of a panic attack

Answer and Explanation

The Correct Answer is A

a. Remain with the client: This is correct because staying with the client provides reassurance and safety, which is crucial during a panic attack.
b. Ask the client to describe what was happening before the anxiety began: While understanding triggers is important, this is not the immediate action during a panic attack when the client needs reassurance.
c. Instruct the client to remain alone until the symptoms subside: This is incorrect as being alone can increase the client’s anxiety and panic.
d. Teach the client to recognize signs of a panic attack: Education is important but should be done after the acute symptoms have subsided. The immediate priority is to provide comfort and safety.

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Correct Answer is A

Explanation

a. "The voices must sound scary, but the devil is not talking to you. This is part of your illness." Validating the experience ("The voices must sound scary") shows empathy and avoids dismissing the client's reality. Explaining it as part of the illness ("This is part of your illness") provides a non-judgmental explanation.
b. "The devil only talks to people who are receptive to his influence." Denying the voices can be dismissive and make the client feel isolated.
c. "You are not going to hell. You are a good person." While offering reassurance might seem comforting, it doesn't address the specific hallucination.
d. "Did you take your medicine this morning?" Medication is important, but the immediate priority is to address the hallucination and provide support.

A. glucose intolerance resulting in hypoglycemia. B. endocrine imbalance causing amenorrhea. C. decreased metabolism causing cold intolerance. D. cardiac dysrhythmia resulting in cardiac arrest.

Correct Answer is D

Explanation

a. Hypoglycaemia can occur, but it is not as immediately life-threatening as cardiac dysrhythmia.
b. Endocrine imbalance and amenorrhea are significant but not usually immediately life-threatening.
c. Cold intolerance due to decreased metabolism is uncomfortable but not immediately life-threatening.
d. Cardiac dysrhythmias are a major health complication of anorexia nervosa due to electrolyte imbalances, particularly hypokalaemia, which can lead to cardiac arrest. This is a life-threatening condition that needs to be monitored closely.

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Which of the following would be the best nursing action for a client who is having a panic attack?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client diagnosed with schizophrenia disorder states, "Can't you hear them? It's the devil. The devil is telling me I'm going to hell." Which is the most appropriate nursing response?

Correct Answer is A

Explanation

Which major health complication is associated with a client diagnosed with anorexia nervosa, does the nurse assess as a priority?

Correct Answer is D

Explanation

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