A client is experiencing severe anxiety associated with a phobia.Which nursing actions are appropriate when providing care to the client? Select all that apply.
A) Explain why the reaction to the phobia is unrealistic.
B) Make sure the client understands that she is safe.
C) Teach why the phobia is imagined.
D) Coach the client to deep breathe.
E) Ensure a quiet and calm environment.

Question

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A) As a client's anxiety level associated with a phobia increases, judgment and the ability to listen, remember, and learn are impaired. This is not the time to teach or present new information. The nurse should not argue with the client about the perception of reality. The nurse needs to ensure safety and offer a quiet, calm environment. Coaching in deep breathing would be applicable after the client is stabilized.
B) As a client's anxiety level associated with a phobia increases, judgment and the ability to listen, remember, and learn are impaired. This is not the time to teach or present new information. The nurse should not argue with the client about the perception of reality. The nurse needs to ensure safety and offer a quiet, calm environment. Coaching in deep breathing would be applicable after the client is stabilized.
C) As a client's anxiety level associated with a phobia increases, judgment and the ability to listen, remember, and learn are impaired. This is not the time to teach or present new information. The nurse should not argue with the client about the perception of reality. The nurse needs to ensure safety and offer a quiet, calm environment. Coaching in deep breathing would be applicable after the client is stabilized.
D) As a client's anxiety level associated with a phobia increases, judgment and the ability to listen, remember, and learn are impaired. This is not the time to teach or present new information. The nurse should not argue with the client about the perception of reality. The nurse needs to ensure safety and offer a quiet, calm environment. Coaching in deep breathing would be applicable after the client is stabilized.
E) As a client's anxiety level associated with a phobia increases, judgment and the ability to listen, remember, and learn are impaired. This is not the time to teach or present new information. The nurse should not argue with the client about the perception of reality. The nurse needs to ensure safety and offer a quiet, calm environment. Coaching in deep breathing would be applicable after the client is stabilized.

A Client Is Experiencing Severe Anxiety Associated with a Phobia