An anxious client who receives anxiolytic medication every 6 hours prn is in the corridor pacing. He
grabs the arms of anyone who comes along and asks "When can I have medication?" His voice is
high pitched and shaky.
His respiratory rate is rapid. His assigned nurse should intervene by
a. ascertaining when the client's medication is due and informing him.
b. sending him to his room to lie down for half an hour.
c. joking with him to reduce tension.
d. suggesting that he watch television.
ANS: A
Medication should be given promptly when a client is experiencing severe anxiety. The client should
be told when his next dose will be forthcoming and reassured that it will be given promptly. This
intervention can be helpful in lowering his present state of anxiety. Options B and D: Sending the
client away to lie down or to watch television will not lower his anxiety. However, staying with him
could be helpful. Option C: Joking is inappropriate because the severely anxious client has difficulty
processing information and will be unable to differentiate joking from fact.
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