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When a client is experiencing a panic attack while in the recreation room, what interventions are the nurse's first priorities? Select all that apply.
- A. Provide a safe environment.
- B. Request a prescription for an antianxiety agent.
- C. Offer the client therapy to calm down.
- D. Ensure the client's privacy.
- E. Engage the client in recreational activities.
Correct Answer: A,D
Rationale: Providing a safe environment and ensuring privacy are priorities during a panic attack to reduce stimulation and enhance security.
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A client states, 'I will just die if I don't get this job.' The nurse then asks the client, 'What will be the worst that will happen if you don't get the job?' The nurse is using this response to
- A. appraise his situation more realistically.
- B. assist the client to make alternative plans for the future.
- C. assess if the client has health problems compounded by stress.
- D. clarify the client's meaning.
Correct Answer: A
Rationale: The nurse's question employs decatastrophizing to help the client realistically evaluate the situation and reduce exaggerated fears.
A client who suffers from frequent panic attacks describes the attack as feeling disconnected from himself. The nurse notes in the client's chart that the client reports experiencing.
- A. hallucinations.
- B. depersonalization.
- C. derealization.
- D. denial.
Correct Answer: B
Rationale: Feeling disconnected from oneself during a panic attack is depersonalization, a common symptom of panic.
An anxiolytic agent, lorazepam (Ativan), has been prescribed for the client. Which of the following statements by the client would indicate to the nurse that client education about this medication has been effective?
- A. My anxiety will be eliminated if I take this medication as prescribed.
- B. This medication presents no risk of addiction or dependence.
- C. I will probably always need to take this medication for my anxiety.
- D. This medication will relax me, so I can focus on problem solving.
Correct Answer: D
Rationale: Lorazepam relieves anxiety symptoms to aid problem-solving, but does not eliminate anxiety or lack risk of dependence.
Which of the following are reasons that the nurse must understand why and how anxiety behaviors work? Select all that apply.
- A. To provide better care for the client
- B. To help understand the role anxiety plays in performing nursing responsibilities
- C. To help the nurse to mask his or her own feelings of anxiety
- D. So the nurse can identify that his or her own needs are more important than the clients
- E. To help nurses to function at a high level
Correct Answer: A,B,E
Rationale: Understanding anxiety improves client care, informs nursing responsibilities, and supports high-level functioning, without prioritizing the nurse's needs.
Which one of the following can be a positive outcome of using defense mechanisms?
- A. Defense mechanisms can inhibit emotional growth.
- B. Defense mechanisms can lead to poor problem-solving skills.
- C. Defense mechanisms can create difficulty with relationships.
- D. Defense mechanisms can help a person to reduce anxiety.
Correct Answer: D
Rationale: Defense mechanisms can reduce anxiety, providing temporary relief, though overuse may lead to negative outcomes.