A patient with a history of severe panic becomes dizzy and says, “I cannot get enough air.” The oxygen saturation is normal and the airway is clear. Which nursing action is best?
Correct answer: A. Coach slow breathing while remaining calmly with the patient
- A. Coach slow breathing while remaining calmly with the patient
- B. Ask the patient to describe the most stressful life event
- C. Leave the patient alone to regain control
- D. Have the patient breathe rapidly into a paper bag
Explanation
Staying with the patient and coaching slow breathing provides safety and reduces hyperventilation without reinforcing fear. A paper bag can worsen hypoxia if the cause is misidentified, and leaving or beginning a lengthy history is unsuitable during acute panic.
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About Psychiatric Emergencies
Psychiatric emergencies include suicidal behavior, homicide risk, severe agitation, panic, acute psychosis, delirium, overdose, and withdrawal states. Students examine rapid risk assessment, crisis intervention, de-escalation, environmental safety, emergency medication, observation levels, and the immediate priorities that differ from routine psychiatric nursing care.
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