A client in the emergency department is pacing, trembling, a… | MyMerci
NCLEX-RNPSI
Question
A client in the emergency department is pacing, trembling, and says, "I feel like I am going to die." Which response by the nurse is most therapeutic?
1There is nothing wrong with you, so calm down.
2You are safe here. Breathe with me slowly.✓ Correct answer
3I will leave you alone until the feeling passes.
4Ask the client to describe exactly what medications they have taken today
Explanation
During severe anxiety or panic, the nurse should stay with the client, communicate safety, and use short, calm directions such as guided breathing. Telling the client to calm down, leaving, or minimizing symptoms is not therapeutic. Safety and presence come first.
In-depth explanation
Clinical Judgment Panic care uses presence, safety, and simple instructions because complex teaching will not land during peak anxiety.
Memory Tip Stay, reassure, breathe.
Clinical scenario
Clinical Practice Guide Therapeutic communication for panic focuses on calm presence, reduced stimulation, brief statements, and breathing support.
Caution Always assess for medical causes of acute chest pain or dyspnea when symptoms suggest them.
Key concepts
Panic Attack — A sudden episode of intense fear with physical symptoms such as trembling or dyspnea.
Therapeutic Communication — Communication that supports safety, trust, and emotional regulation.
Grounding — A technique that helps a person reconnect with the present moment.