Practice Quiz

NCLEX-PN

Category - Psychosocial Integrity

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The nurse is caring for a client with anxiety disorder. One afternoon, the nurse observes the client pacing in the dayroom and extremely agitated. In cases of severe anxiety, which of the following actions of the nurse is the least appropriate?
  1. Stay with the client and acknowledge the client’s discomfort
  2. Assist the client with distraction techniques to reduce anxiety levels
  3. Move the client to a quieter and less stimulating environment
  4. Allow the client to continue pacing
Explanation
Answer: B - Providing distractions during severe anxiety is ineffective, as the client is unable to focus with assistance at this time. Staying with the client, acknowledging his or her discomfort, and moving the client to a quieter environment can reduce the anxiety levels. Allowing the client to continue pacing can help release the tension.
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