Walkthrough: Psychosocial Integrity Q2 – NCLEX-RN®

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.