Question

During the admission assessment, a client with a panic disorder begins to hyperventilate and says, "I'm going to die if I don't get out of here right now!" What is the nurse's best response?

1. "Just calm down. You're getting overly anxious."
2. "What do you think is causing your panic attack?"
3. "You can rest alone in your room until you feel better."
4. "You're having a panic attack. I'll stay here with you."

Answer 1

The nurse's best response to a client with panic disorder who is hyperventilating is to offer support by staying with them and acknowledging that they are having a panic attack. Advising to calm down or inquiring about the cause of the attack is less helpful, as these can invalidate their feelings or increase anxiety.

Step-by-step explanation:

During an admission assessment, when a client with a panic disorder starts to hyperventilate, the nurse's best response is to stay with the patient and provide reassurance. Saying, "You're having a panic attack. I'll stay here with you," acknowledges the patient's experience and offers immediate support.

It's crucial for healthcare providers to offer a calming presence without dismissing the patient's feelings. Instructing someone to calm down can invalidate their experience, whereas asking them about the cause of the panic attack could lead to further anxiety. Privacy might be sought by some patients, but during a panic attack, it's often more helpful to have someone supportive present.

Using techniques derived from cognitive-behavioral therapy (CBT), like grounding exercises or self-compassion affirmations, can aid in managing the symptoms. This approach can prevent escalation and ensure the patient feels understood and cared for during a distressing moment.