A client with panic disorder experiences an acute attack while the nurse is completing an admission assessment. List the following interventions according to their level of priority.

Correct Answer: A

Rationale: The correct answer is A: Remain with the client. This is the highest priority as it provides immediate support and reassurance, helping to prevent harm and promote safety during the panic attack. Choice B (Encourage physical activity) may worsen symptoms, choice C (Encourage low, deep breathing) may not be effective during an acute attack, and choice D (Reduce external stimuli) may not address the immediate need for support and reassurance.

Correct Answer: D

Rationale: The correct answer is D because it demonstrates the therapeutic communication technique of focusing by redirecting the conversation back to a specific topic, the relationship with the father. This helps the client explore their thoughts and feelings on a particular issue in depth. Choice A is incorrect as it does not focus on a specific topic. Choice B is incorrect as it does not guide the conversation towards a particular subject. Choice C is incorrect as it does not involve redirecting the conversation to a specific issue for exploration.

Correct Answer: B

Rationale: The correct answer is B because it acknowledges the mother's feelings of guilt and validates her emotions. By stating, "You're feeling guilty because you weren't able to save your children," the nurse shows empathy and understanding towards the mother's distress. This response helps the mother process her emotions and begin to cope with the traumatic event. Choice A is incorrect as it focuses on physical barriers rather than the mother's emotional state. Choice C does not address the mother's feelings of guilt and instead redirects her attention to a different aspect of the situation. Choice D is incorrect as it dismisses the mother's emotions and suggests avoidance rather than confronting her feelings.

Correct Answer: C

Rationale: The correct answer is C because it aligns with effective communication strategies in Native American culture. Soft voice respects the patient's preference for calm and gentle interactions. Breaking eye contact occasionally shows respect and humility, as prolonged eye contact can be interpreted as confrontational. General leads and reflective techniques promote a more holistic and patient-centered conversation. In Native American culture, indirect communication is valued, and reflective techniques encourage the patient to share their thoughts and feelings at their own pace. Overall, choice C prioritizes building rapport, demonstrating respect, and fostering a collaborative and inclusive conversation.

Correct Answer: A

Rationale: The correct answer is A: Investigate cultural differences in patients' responses to psychotropic medications. This is the first step the nurse should take to prepare for the new position. Understanding cultural differences in medication responses is crucial for providing safe and effective care. By researching this information, the nurse can tailor treatment plans to individual patients, minimizing risks of adverse reactions and improving outcomes. The other choices are incorrect because: B: Contacting the clinical nurse specialist for guidelines is helpful but not the first step. It is important to have a foundational understanding of cultural differences first. C: Examining literature on health beliefs is valuable but may not directly address medication responses. D: Completing an online course on psychopharmacology is beneficial but does not specifically focus on cultural considerations.