# 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?

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> url: https://mymerci.kr/pages/nclex_q.php?qn_id=505789&lang=en  
> language: en  
> subject: Psychosocial Integrity  
> category: PSI

## 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?

## Option

1. Stay with the client and use brief, calm statements to provide reassurance. **✔ Correct answer**
2. Ask the client to describe the exact sequence of events leading to the attack.
3. Instruct the client to breathe into a paper bag to correct hyperventilation.
4. Explain the physiological cause of the symptoms to reduce fear.

**Correct answer: 1**

## 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.

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