The nurse has determined that a patient hospitalized with severe anxiety is now in the panic stage
Which nursing assessments support this determination? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. The patient's heart rate is 115 bpm sustained.
2. The patient cannot communicate needs in a clear manner.
3. The patient does not respond to events in the surroundings.
4. The patient is beginning to be restless.
5. The patient's hands begin to show tremors.
1,2,3
Rationale 1: Tachycardia is a sign of panic.
Rationale 2: Inability to communicate clearly is a sign of panic.
Rationale 3: In the presence of panic, the patient's perceptual fields close and there is limited, if any, response to the surroundings.
Rationale 4: Beginning restlessness occurs during moderate anxiety.
Rationale 5: Tremors begin in severe anxiety.
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