ATI Real Life Anxiety Mental Health Disorder Answers | Latest Updated 2023 & Rated A+

1. Nurse Tara is admitting Ms Simpson. Which of the following is the priority action for Tara to take? A) Evaluate the need for medication. B) Check blood pressure. C) Assess respiratory status. D) Encourage taking deep breaths. 2. The priority action the nurse should take when using the airway, breathing, circulation (ABC) approach to the client is to assess the respiratory status of a client who is experiencing shortness of breath and tachypnea. Nurse tara is preparing to call the provider. List the findings that the nurse includes when giving a report using the SBAR format. S (Situation) = Ms. Simpson is a 22-year-old African-American female admitted to the inpatient mental health unit for anxiety. She is restless and fidgety, has poor concentration, and has been experiencing chest pain and shortness of breath. B (Background) = She has a history of generalized anxiety disorder and has previously taken paroxetine 20 mg PO daily, but has not been taking it for approximately 2 weeks. A (Assessment) = Her vital signs from report at 0745 were: heart rate 115, blood pressure 148/76, respirations 32, oxygen saturation 96% on room air, and temperature 37.0 C (98.6 F). Her score on the Hamilton A scale is 26, and she has been unable to focus on answering questions due to her severe level of anxiety. She continues to pace, wring her hands, and rock when sitting. R (Recommendation) = I am calling to request a prescription for lorazepam.