What is the priority action by the nurse for a patient having a severe panic attack?
1. Explaining about anxiety
2. Teaching about ways to decrease anxiety
3. Reassuring and protecting until the episode subsides
4. Providing a physical activity to redirect patient focus
Answer: 3
Explanation: Offering firm reassurance and protection until the episode subsides provides safety for the patient. Teaching about anxiety and ways to decrease anxiety are not appropriate because a patient who is having a severe panic attack cannot learn at this level of anxiety. The patient is unable to focus on a physical activity at this level of anxiety.
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The physician asks the nurse if the client with schizophrenia is experiencing any negative symptoms. The nurse says that the client frequently:
A) has visual hallucinations of seeing polar bears in the room. B) is still delusional and believes she is Marilyn Monroe. C) answers questions in one- and two-word phrases with little expression. D) dresses in brightly colored, mismatched outfits.
A client is hospitalized for chemotherapy. The registered nurse intervenes when observing which action by the nursing assistant?
a. Allowing the client to rest instead of making him or her perform oral hygiene b. Helping the client wash the groin and axillary areas every 12 hours c. Cutting food and opening food packages when the client's meal tray arrives d. Reminding the client to use the incentive spirometer every hour while awake
Nurses wishing to gain credibility understand that they must possess which of the following characteristics?
a. Caring c. Competence b. Empathy d. Responsibility
Required Organizational Practices __________
a. should be implemented three months before an accreditation process b. should be implemented six months before an accreditation process c. are evidence-based d. are required for an accreditation process only