The nurse observes the client experiencing a panic attack in the day room in the behavioral health unit. Which is the priority action by the nurse?
A.
Educate the client in ways to prevent a future panic attack.
B.
Take the client for a walk around the unit
C.
Stay with the client and maintain a safe environment
D.
Redirect the client to an activity or task
The Correct Answer and Explanation is:
The priority action by the nurse when a client is experiencing a panic attack in the day room in the behavioral health unit is:
C. Stay with the client and maintain a safe environment.
Explanation:
A panic attack is an intense and sudden episode of overwhelming anxiety and fear, often accompanied by physical symptoms such as rapid heartbeat, sweating, shaking, and difficulty breathing. During such an episode, the client’s perception of reality can become distorted, and they may feel like they are losing control or even having a heart attack. Therefore, ensuring the client’s immediate safety and providing reassurance is crucial.
1. Ensuring Safety and Reassurance:
Staying with the client and maintaining a safe environment is the most critical intervention. The nurse’s presence provides a sense of security and support, helping the client to feel less isolated and more grounded. This can also prevent the client from engaging in unsafe behaviors due to the heightened state of anxiety. By remaining calm and composed, the nurse can model a sense of stability for the client, which can help de-escalate the situation.
2. Addressing Immediate Needs:
During a panic attack, the client’s immediate needs are emotional and physical reassurance. The nurse should offer a calm, non-threatening demeanor and use supportive verbal and non-verbal communication. The environment should be adjusted to minimize any potential triggers that could exacerbate the client’s anxiety. This may involve moving the client to a quieter, less stimulating area if needed.
3. Subsequent Interventions:
After the immediate crisis is managed, other actions such as education on preventing future panic attacks (Option A), taking the client for a walk (Option B), or redirecting to an activity (Option D) can be considered. However, these are secondary to the immediate need for ensuring the client’s safety and providing comfort during the acute phase of the panic attack.
In summary, the priority is to stay with the client and maintain a safe environment, which provides immediate support and prevents potential harm during the panic attack. Once the client is stable, further interventions can be implemented to address long-term management and prevention strategies.