NCLEX-RN Exam Practice

Category - Psychology

You are caring for a patient who has been assaulted. The patient is agitated, trembling, and hyperventilating. What would be the priority nursing intervention?
  1. Encourage the patient to discuss the assault.
  2. Place the patient in a quiet room alone.
  3. Remain with the patient.
  4. Teach relaxation techniques.
Explanation
Answer: C - Remain with the patient when they are in a severe state of anxiety. Encouraging the patient to discuss the assault will only increase the anxiety. The patient would not be able to learn relaxation techniques while in a state of severe anxiety.
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