A client comes to the emergency department because he thinks he is having a heart attack. Further assessment determines that the client is not having a heart attack but is having a panic attack. When beginning to interview the client, which question would be most appropriate for the nurse to use?

Correct Answer: B

Rationale: The correct answer is B: "What did you experience just before and during the attack?" This question is appropriate because it helps gather information about the client's triggers and symptoms during the panic attack, aiding in identifying potential causes and providing appropriate interventions. By understanding the client's experience before and during the attack, the nurse can better assess the situation and provide personalized care. Incorrect Choices: A: "Are you feeling much better now that you are lying down?" - This question does not address the client's experience or provide insight into the panic attack triggers or symptoms. C: "Do you think you will be able to drive home?" - This question is not a priority at the initial assessment and does not focus on understanding the client's condition. D: "What do you think caused you to feel this way?" - While this question is relevant, it is not as specific as asking about the experience before and during the attack, which can provide more immediate information for intervention.

Correct Answer: C

Rationale: The correct answer is C: Ignore the child's rocking behavior. This is the most appropriate intervention because rocking without any danger does not require immediate intervention. It is a self-soothing behavior often seen in children with autism. By ignoring the behavior, the nurse avoids reinforcing it and allows the child to engage in self-regulation. Monitoring the behavior (choice A) is appropriate but does not actively address the behavior. Holding the child (choice B) may disrupt the child's coping mechanism. Placing the child in time out (choice D) is not appropriate as it may be perceived as punishment and increase distress.

Correct Answer: D

Rationale: The correct answer is D because it addresses the specific concern of the client with schizophrenia who also abuses alcohol. By monitoring and reporting any side effects, the nurse can ensure that the client's prescribed medications are adjusted or changed as needed to prevent him from stopping his medication, which could lead to relapse. This approach promotes medication adherence and overall stability, thus reducing the risk of relapse. Option A is incorrect because it lacks proactive measures to support the client's recovery. Option B focuses solely on avoiding triggers related to delusional thinking and does not address the dual diagnosis of schizophrenia and alcohol abuse. Option C, while beneficial, may not fully address the client's unique needs and challenges related to his dual diagnosis.

Correct Answer: D

Rationale: The correct answer is D: Substance Abuse and Mental Health Services Administration (SAMHSA). SAMHSA is a government agency that provides the most up-to-date evidence-based research, programs, and practices related to mental illness and addictions. They offer resources for healthcare professionals to access reliable information and guidelines for treatment and interventions. SAMHSA is specifically focused on mental health and substance abuse issues, making it the most appropriate choice for the nurse to consult. The other options, such as the American Psychiatric Association, American Psychological Association, and Clinician's Quick Guide to Interpersonal Psychotherapy, may have relevant information but do not specialize in mental illness and addictions like SAMHSA does.