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Zorluk: KolayMental Health Concepts

A client on the inpatient mental health unit with generalized anxiety disorder is observed pacing rapidly, breathing heavily, and wringing their hands. The client tells the practical nurse (PN), 'I feel like something terrible is going to happen.' Which actions should the PN take? Select all that apply.

  1. Remain with the client to provide a continuous sense of safetyCevap
  2. Move the client to a quieter area of the unitCevap
  3. Speak to the client using a calm, low, and slow voiceCevap
  4. D
    Ask the client, 'Why do you feel like something terrible will happen?'
  5. E
    Attempt to logically reason with the client about their fears
  6. F
    Prepare to apply physical restraints to prevent the client from losing control

Cevap

The correct actions are to remain with the client, move the client to a quieter area, and speak using a calm, low, and slow voice.
When a client experiences severe anxiety, the most critical actions focus on immediate safety and symptom reduction. Remaining present provides reassurance and prevents panic. Moving the client to a quieter area reduces triggering stimuli that compound anxiety. Speaking calmly and slowly models emotional regulation and provides a steady anchor for the client. These actions are therapeutic, safe, and represent the least restrictive approach.

Adım Adım Çözüm

1
Analyze the client's physical and verbal manifestations.
The client is pacing, hyperventilating, and expressing intense feelings of impending doom, which indicate severe anxiety.
Identifying the client's current level of anxiety dictates the appropriate and safe nursing interventions.
2
Identify the primary goal of nursing care for a client experiencing severe anxiety.
The immediate goals are to ensure physical safety, reduce environmental triggers, and prevent behavioral escalation.
Severe anxiety significantly impairs cognitive function and coping mechanisms, potentially leading to panic or a behavioral crisis.
3
Select interventions that achieve the safety goals without utilizing non-therapeutic or overly restrictive methods.
Providing a continuous presence, reducing stimuli, and utilizing calm verbal communication are correct. Probing 'why' questions, debating logic, and physical restraints are inappropriate.
The selected actions represent the safest, least restrictive, and most therapeutic approaches for acute anxiety.

Anahtar Kavram

Initial nursing interventions for severe anxiety emphasize immediate safety, remaining with the client, reducing environmental stimuli, and utilizing a calm, steady communication style.
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