A nurse is contributing in the plan of care for a client who experiences panic attacks. Which of the following strategies should be included for implementation during an attack?

• A. Explore with the client what precipitates an attack.
• B. Minimize environmental stimuli.
• C. Assist the client with evaluating their coping mechanisms.
• D. Encourage the client to set goals.

Answer: (B)

During a panic attack, the priority is to de-escalate and create a safe, calm environment. Reducing environmental stimuli accomplishes this by limiting sensory input that can intensify the panic, such as loud noises, bright lights, or a busy, crowded space. With fewer stimuli, the client can more easily focus on grounding techniques and controlled breathing, which helps lower the surge of autonomic arousal and regain a sense of control. Actions like exploring what precipitates the attack, evaluating coping mechanisms, or setting goals are important for ongoing care, but they are best addressed after the acute episode has subsided, when the client is calmer and able to process information.