Practice Quiz

NCLEX-RN

Category - Psychosocial

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A female teenage client comes to the emergency room following an assault. The client is extremely anxious and is hyperventilating. Which of the following interventions is the most appropriate nursing action?
  1. Teach the client how to do deep breathing exercises.
  2. Stay with the client until the level of anxiety decreases.
  3. Place the client in a quiet room alone to decrease stimulation.
  4. Encourage the client to verbalize her feelings and fears.
Explanation
Answer: B - The client is severely anxious. In a severe state of anxiety, it is crucial to stay with the client until anxiety decreases. Leaving the client alone or encouraging verbalization of feelings at this point can increase her level of anxiety. A client will not be able to learn any relaxation techniques while severely anxious.
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