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Author Question: For a patient experiencing panic, which nursing intervention should be first? a. Teach relaxation ... (Read 28 times)

burton19126

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For a patient experiencing panic, which nursing intervention should be first?
 
  a. Teach relaxation techniques.
  b. Administer an anxiolytic medication.
  c. Provide calm, brief, directive communication.
  d. Gather a show of force in preparation for gaining physical control.

Question 2

Which statement is mostly likely to be made by a patient with agoraphobia?
 
  a. Being afraid to go out seems ridiculous, but I can't go out the door.
  b. I'm sure I'll get over not wanting to leave home soon. It takes time.
  c. When I have a good incentive to go out, I can do it.
  d. My family says they like it now that I stay home.



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millet

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Answer to Question 1

ANS: C
Calm, brief, directive verbal interaction can help the patient gain control of the overwhelming feelings and impulses related to anxiety. Patients experiencing panic-level anxiety are unable to focus on reality; thus learning relaxation techniques is virtually impossible. Administering an anxiolytic medication should be considered if providing calm, brief, directive communication is ineffective. Although the patient is disorganized, violence may not be imminent, ruling out the intervention of preparing for physical control until other less-restrictive measures are proven ineffective.

Answer to Question 2

ANS: A
Individuals who are agoraphobic generally acknowledge that the behavior is not constructive and that they do not really like it. Patients state they are unable to change the behavior. Patients with agoraphobia are not optimistic about change. Most families are dissatisfied when family members refuse to leave the house.





 

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