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    RN HESI Mental Health Proctored Exam

    A nurse who is co-leading group therapy recognizes that a client is beginning to experience severe levels of anxiety. Which intervention is best for the nurse to implement?

    Explanation & Rationale

    A. Asking the client to identify the source of feelings requires cognitive processing, which is impaired during severe anxiety. This intervention is more appropriate for mild to moderate anxiety levels when the client can still think clearly. B. Providing education about coping strategies is ineffective during severe anxiety because the client is unable to concentrate or retain new information. Teaching should be done when the client is calmer and better able to process information. C. Escorting the client away from the group reduces environmental stimuli and helps decrease anxiety levels. This is the priority intervention for severe anxiety, as it promotes a calmer setting and enhances the client’s ability to regain control. D. Assisting with relaxation techniques may be helpful, but during severe anxiety, the client may not be able to follow instructions effectively. These techniques are more appropriate once the anxiety level has been reduced.

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