A nurse is caring for a client who is experiencing an acute … | MyMerci
Psychosocial IntegrityPSI
Question
A nurse is caring for a client who is experiencing an acute panic attack. The client is hyperventilating, trembling, and repeatedly states, "I can't breathe, I'm going to die." Which action should the nurse take first?
1Stay with the client and use brief, calm statements to provide reassurance.✓ Correct answer
2Ask the client to describe the exact sequence of events leading to the attack.
3Instruct the client to breathe into a paper bag to correct hyperventilation.
4Explain the physiological cause of the symptoms to reduce fear.
Explanation
During an acute panic attack, the priority is to ensure safety and reduce overwhelming anxiety. Staying with the client and using brief, calm statements provides a grounding presence and prevents escalation. Asking for a detailed description increases cognitive demand and may worsen anxiety. Instructing to breathe into a paper bag is no longer recommended due to risks of hypoxia and increased panic. Explaining the physiology is a teaching intervention that should be postponed until the client is calmer and able to process information.