During the assessment of a client with an anxiety disorder, the client becomes very anxious. The nurse should:
1. Suspend data gathering and wait until the next day to resume the assessment.
2. Suspend data gathering and take action to reduce anxiety.
3. Continue data gathering and ask what the precipitating factor for the anxiety is.
4. Continue data gathering and ask clarifying questions.
2
Rationale: As anxiety increases, the perceptual field for a client decreases. The nurse should suspend data gathering and take action to reduce anxiety. Suspending data gathering until the next day is incorrect because the nurse needs to gather the assessment information as soon as possible. Continuing to gather data and asking for clarification, or asking about the precipitating factor for the anxiety, may not result in accurate information because the client may not be able to focus on the questions or answers.
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