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학습 자료 둘러보기 →During an acute panic attack with hyperventilation and chest pain, the client's cognitive function is narrowed by intense fear of losing control. The nurse's first action must be to assess for self-harm or harm to others to establish immediate physical and psychological safety.
Therapeutic communication, such as discussing feelings or teaching coping strategies, is ineffective during the peak of a crisis. The sympathetic nervous system activation mimics a medical emergency, making the client unable to process complex information. Safety assessment is the foundational step before de-escalation.
Do not leave the client alone. A panic attack can trigger a profound sense of impending doom and loss of control, which may lead to impulsive behaviors. Stay with the client in a quiet environment and use short, clear directives after confirming no immediate danger exists.
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