Which statement indicates that the nurse is reacting to Ashley's severe anxiety rather than her needs?

The statement "There is nothing physically wrong with you, you need to stop breathing so rapidly" reflects a reaction to Ashley's severe anxiety that dismisses her current emotional state and focuses on the nurse's own feelings of frustration or urgency, rather than addressing Ashley's needs. This response may come across as minimizing Ashley's experience, which can exacerbate her anxiety.

Effective communication in a therapeutic setting involves validating the patient's feelings and responding to their emotional needs. By stating that there is nothing wrong and instructing her to simply stop breathing rapidly, the nurse is not offering compassion or support to help Ashley cope with her anxiety. Instead, a more appropriate approach would involve engaging with Ashley’s emotional state in a supportive manner, fostering a sense of understanding and assistance. In contrast, the other statements focus on encouraging action towards calming down, exploring feelings, and providing techniques that are beneficial for managing anxiety, which aligns more closely with addressing the patient's needs.