A client who has been diagnosed with panic disorder visits the clinic and experiences a panic attack. The client tells the nurse, I'm so nervous. My hands are shaking, and I'm sweating. I feel as if I'm having a stroke right now. Which of the following would the nurse do first?

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Question 1 of 4

A client who has been diagnosed with panic disorder visits the clinic and experiences a panic attack. The client tells the nurse, I'm so nervous. My hands are shaking, and I'm sweating. I feel as if I'm having a stroke right now. Which of the following would the nurse do first?

Correct Answer: A

Rationale: The correct answer is A: Stay with the client while remaining calm. Rationale: 1. Presence and calmness provide reassurance and support during a panic attack. 2. Staying with the client helps prevent further distress or harm. 3. The nurse can assess the client's condition and provide immediate assistance if needed. 4. It establishes trust and a therapeutic relationship. Summary: B: Moving the client to a safe environment is important, but staying with the client is the priority for immediate support. C: Telling the client the attack will soon pass may not be effective during the acute phase of panic. D: Teaching deep breathing techniques can be helpful, but it is not the first step in managing a client experiencing a panic attack.

Question 2 of 4

A nurse is assessing a child who is suspected of having attention deficit hyperactivity disorder. Which of the following would the nurse identify as reflecting impulsiveness in the child?

Correct Answer: D

Rationale: The correct answer is D: Risk-taking behavior. Impulsiveness is a key characteristic of ADHD, and risk-taking behavior is a clear manifestation of impulsiveness in children with ADHD. Children displaying risk-taking behavior often act without considering consequences or engaging in dangerous activities. In contrast, choices A, B, and C are more indicative of hyperactivity and inattention rather than impulsiveness. Inability to wait his turn (A) is related to impulse control, restlessness (B) is associated with hyperactivity, and difficulty completing a task (C) is linked to inattention. Therefore, choice D is the most appropriate reflection of impulsiveness in a child with ADHD.

Question 3 of 4

The nurse is reviewing a client's medical record and finds that he has received treatment for his co-occurring disorders in the primary health care setting. The nurse interprets this as which quadrant of care?

Correct Answer: A

Rationale: The correct answer is A: Category I. In the Quadrant Model of Integrated Healthcare, Category I refers to the treatment of co-occurring disorders in the primary care setting. This means that the client is receiving integrated care for both physical and mental health conditions in one location, promoting holistic and comprehensive treatment. Choices B, C, and D do not align with the specific scenario described and represent different levels or types of care in the Quadrant Model.

Question 4 of 4

An adult says, 'I never know the answers,' and 'My opinion does not count.' Which psychosocial crisis was unsuccessfully resolved for this adult?

Correct Answer: C

Rationale: The adult's statements indicate feelings of inadequacy and lack of confidence, which align with Erikson's stage of Autonomy versus shame and doubt. In this stage, individuals develop a sense of independence and self-assurance. The adult's expressions of self-doubt and disempowerment suggest an unresolved conflict from this stage. A: Initiative versus guilt - This stage pertains to developing a sense of purpose and direction in actions, not relevant to the adult's statements. B: Trust versus mistrust - This stage focuses on building trust in relationships, not directly related to the adult's self-perception issues. D: Generativity versus self-absorption - This stage involves contributing to society and future generations, not reflective of the adult's self-depreciating thoughts.

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