# A client is having a panic attack and says, "I am going to die." Which response should the nurse use?

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=397176&lang=en  
> language: en  
> subject: Therapeutic Communication  
> category: PSI

## Question

A client is having a panic attack and says, "I am going to die." Which response should the nurse use?

## Option

1. You are safe. Stay with me and breathe slowly. **✔ Correct answer**
2. There is nothing to be afraid of.
3. Tell me everything that caused this feeling.
4. You should not talk until the panic stops.

**Correct answer: 1**

## Explanation

During a panic attack, the nurse should remain with the client, use simple reassurance, and coach slow breathing. Exploring causes is better after anxiety decreases. Dismissing the fear or telling the client not to talk can increase distress.

## In-depth explanation

Clinical Judgment
Use the client cues, timing, labs, and safety risks to select the response that best fits Panic attack support.

Memory Tip
Match the strongest cue cluster to the safest nursing judgment.

KR vs US
NCLEX items reward cue-based priority thinking rather than isolated recall.

## Clinical scenario

Clinical Practice Guide
For Panic attack support, compare the complete cue pattern with the client's current stability, ordered data, and expected nursing scope.

Caution
Do not choose an action from one isolated cue when the full scenario changes priority or safety.

## Key concepts

- **Panic Attack** — A sudden episode of intense fear with physical and cognitive symptoms.
- **Therapeutic Communication** — Purposeful communication that supports safety, trust, and coping.
- **Grounding** — A technique that helps a client focus on the present moment.

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