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NCLEX-RN · Question #234

A client presents to the psychiatric unit crying hysterically. She is diagnosed with severe anxiety disorder. The first nursing action is to:

The correct answer is C. Stand or sit next to her. (A) This nursing action is too controlling and authoritative. It could increase the client's anxiety (B) In her anxiety state, the client cannot rationally identify a problem. (C) This nursing action conveys a message of caring and security. (D) Giving the client a task would…

Psychosocial Integrity

Question

A client presents to the psychiatric unit crying hysterically. She is diagnosed with severe anxiety disorder. The first nursing action is to:

Options

  • ADemand that she relax
  • BAsk what is the problem
  • CStand or sit next to her
  • DGive her something to do

How the community answered

(30 responses)
  • A
    7% (2)
  • B
    10% (3)
  • C
    70% (21)
  • D
    13% (4)

Explanation

(A) This nursing action is too controlling and authoritative. It could increase the client's anxiety (B) In her anxiety state, the client cannot rationally identify a problem. (C) This nursing action conveys a message of caring and security. (D) Giving the client a task would increase her anxiety. This would be a late nursing action.

Topics

#anxiety disorder#therapeutic communication#de-escalation#psychiatric nursing

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