Walkthrough: Psychosocial Integrity Q2

by Rhonda Lawes

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    00:01 The nurses caring for a client who's exhibiting a panic attack.

    00:05 Which statement by the nurse to the client is therapeutic? Okay, so I'm the nurse, and I'm taking care of a client who's having a panic attack.

    00:16 If you haven't seen someone have a panic attack, it's pretty overwhelming for them.

    00:21 That's why it's called a panic attack.

    00:24 Now our last sentence that focuses us, which statement by the nurse to the client is therapeutic? Okay, so I'm looking for something that will be appropriate for someone in a panic attack, and is therapeutic.

    00:38 You know what to do. Write down the numbers 1, 2, 3, 4.

    00:42 Pause the video.

    00:43 Eliminate three of the answers and say why you're eliminating them, then you should have the answer that is correct.

    00:52 And make sure you say why you believe that answer is also the most correct answer.

    00:57 Ready? I'll see you in a minute.

    01:06 Welcome back.

    01:07 So when I put this question into my own words, I'm looking for the therapeutic statement to say to someone having a panic attack.

    01:17 So let's look at number one.

    01:19 This is a short term problem, and you will feel better before you leave.

    01:23 Okay, this answer choice has two parts, right? So I'm gonna go up to the first comma.

    01:27 This is a short term problem.

    01:29 Is that accurate about somebody having a panic attack? Actually, it's not.

    01:35 If someone's having a panic attack, they probably have an anxiety disorder.

    01:40 That's not usually a short term problem.

    01:43 So and you will feel better before you leave.

    01:46 Really, you would hope that you would take care of that before they leave.

    01:51 But it's not a short term problem, and it could come back.

    01:54 So that's why I'm getting rid of number one.

    01:58 Number two.

    02:00 So it's number one was not therapeutic, and it was not accurate.

    02:04 Number two, let's try taking some slow deep breaths.

    02:08 Okay, that sounds good.

    02:10 Second part, I'll stay with you until you feel better.

    02:16 Okay, now, in NCLEX world, I have all the time in the world.

    02:20 So you don't have to worry about other responsibilities.

    02:23 If you're able to say in the question, I'll stay with you until you feel better, you really do have the time to do that in the perfect NCLEX world.

    02:31 So I'm going to leave two in for now.

    02:34 What about number three? Did you keep the instructions that were given on how to stop these attacks? Came looking for a therapeutic answer.

    02:45 If someone's having a panic attack, asking them if they kept the instructions that we gave them and how to stop these attacks, that's not therapeutic.

    02:55 It's definitely not a better answer than two.

    02:59 So I'm going to get rid of number three.

    03:01 Number four.

    03:03 "I'll give you some time to calm down.

    03:05 Then I'll come back and we can talk." Okay, now compare that to number two.

    03:11 What do you see the difference between four and two? Which one is more therapeutic? Look at number two.

    03:19 You see that second part where you say, "I'll stay with you until you feel better?" What is number four say? "I'll give you some time to calm down.

    03:30 Then I'll come back and we can talk." All right.

    03:34 In NCLEX world, especially in mental health questions, you don't want to leave your patient, "alone." Okay? Keep that in mind.

    03:43 I want you to know, it's not the best idea to leave your patient alone.

    03:49 Now, why is that? Because I'm a nurse, and I am what the patient needs.

    03:55 You're testing me on what a patient can do.

    03:58 This is not real life.

    04:00 Right? This is NCLEX world.

    04:01 So can you see why it's better not to leave someone having a panic attack "alone"? Right. Number two.

    04:09 It's not saying, "Relax. Calm down." You know how I feel about that type of answer.

    04:14 What it's saying is, "Let's try taking some slow, deep breaths." So it implies that we're going to do that together.

    04:21 "And I'll stay with you until you feel better." That is much more therapeutic. You're not rushing them.

    04:29 You're not judging them.

    04:31 You're not telling like, "My goodness, have you not got this yet?" Nope. You're just saying, "Hey, let's do this together. Let's take some slow deep breaths.

    04:39 And I'm going to stay with you until you feel better.

    04:42 That is definitely the most therapeutic answer in those options.

    04:48 Time to reflect.

    04:49 Think about your answer choice.

    04:52 Did you get it right? Did you get it wrong? If you got it wrong, no big deal.

    04:57 Figure out what you can learn from this.

    04:59 This is just a way for you to grow and your test taking abilities.

    05:03 So, if you got it wrong, just a couple things I want to run through.

    05:08 Did you ask yourself the topic of that question in your own words, for each one of the answer choices? If you did, Good.

    05:16 If you didn't, there's a spot you can improve.

    05:20 Did you force yourself to say why you were eliminating an answer choice? If you did, Yes.

    05:26 If you didn't, there's another way that you can improve.

    05:30 Now, if you miss this question, because there's like, "I didn't remember about a panic attack or won't be therapeutic." If it's a knowledge based challenge, write the knowledge in your notebook that would have helped you answer this question correctly.

    05:43 Remember, we always recommend that you go back and review your notebook on a regular basis, asking yourself the questions, "Why would a nurse need to know this? How would it keep a patient safe?" Hey, even if you got the answer, correct, Yay. I mean, pause for a minute and celebrate.

    06:01 That's really cool.

    06:02 But what I want you to do here is to say, "What can I take from this question whether I got it right or wrong, that will help me and others?" Know that in NCLEX world, it is better to not leave your patient, what? Alone.

    06:18 Right. So being with a patient, active listening, those are powerful strategies.

    06:24 We always want to use therapeutic communication.

    06:27 But keeping right next to your patient, being available to them, reassures them and is always a really good idea, particularly in mental health questions.

    06:38 Okay, let's do some more questions together.

    About the Lecture

    The lecture Walkthrough: Psychosocial Integrity Q2 by Rhonda Lawes is from the course NCLEX-RN® Question Walkthrough: Psychosocial Integrity.

    Included Quiz Questions

    1. Shortness of breath
    2. Palpitations
    3. Throat constriction
    4. Decreased respirations
    5. Bradycardia
    1. Leaving the client alone to calm down.
    2. Supporting the client.
    3. Staying with the client during their panic attack.
    4. Telling the client to take deep breaths.

    Author of lecture Walkthrough: Psychosocial Integrity Q2

     Rhonda Lawes

    Rhonda Lawes

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