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    RN Comprehensive Predictor 2023 Proctored Exam

    A nurse in a mental health facility is caring for a client who is experiencing a panic level of anxiety. Which of the following actions should the nurse take?

    Explanation & Rationale

    A. Encourage the client to talk about his feelings: At a panic level of anxiety, the client’s ability to process information and communicate is significantly impaired, making it difficult to engage in meaningful conversation. This approach might increase frustration or agitation. B. Use short sentences when communicating with the client: Using simple, clear, and concise sentences helps the client focus and understand instructions during a panic episode when cognitive processing is limited and overwhelmed. C. Have the client journal about what is happening to him: Writing requires concentration and calm, which the client at a panic level of anxiety is unlikely to have, making journaling ineffective and potentially frustrating in this moment. D. Tell the client to sit alone in a private place and reflect on the situation: Isolation during a panic attack can increase feelings of fear and abandonment. Providing supportive presence is more effective in helping the client regain control.

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