Free PN NCLEX Practice Questions Practice Exam

Full-length practice exam for Free PN NCLEX Practice Questions certification preparation with 227 questions and detailed explanations.

Total Questions: 227 (Free preview: first 5 only)

Question 1 of 227

An adult is admitted to the psychiatric unit with a severe phobia. She develops severe anxiety when she crosses any type of bridge. She can no longer go to work or go shopping at the mall. The day after admission, she develops a panic attack and refuses to go to occupational therapy because she has to cross a bridge-like structure to go from one area of the hospital to another. How should the nurse respond to this situation?

A. Accompany the client as she goes to occupational therapy
B. Request that she be excused from occupational therapy until she is less anxious
C. Have a staff member walk her to occupational therapy by a different route that does not cross a bridge-like structure Correct
D. Tell her that facing her fears is the only way to conquer them and that the nurse will help her do that

Rationale: Accompanying the client to occupational therapy via a different route (Option C) respects her current emotional state while still encouraging participation in therapy. This approach minimizes anxiety and fosters a sense of safety, which is crucial for effective treatment.

Option A, while supportive, may inadvertently reinforce avoidance behaviors by providing a crutch rather than addressing the underlying phobia. Option B, excusing her from therapy, could hinder her progress and reinforce avoidance. Option D, suggesting she confront her fears immediately, may increase anxiety and lead to feelings of helplessness, which is counterproductive in managing phobias.

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