A client with panic disorder expresses concern about having another panic attack. Which of the following statements by the client indicates a need for further education?
"I don't think I'll ever be able to control my panic attacks.".
"I'm worried about the consequences of having another panic attack.".
"I feel confident that I can prevent future panic attacks.".
"I've learned some relaxation techniques to help manage my anxiety.".
The Correct Answer is A
Choice A rationale:
The statement "I don't think I'll ever be able to control my panic attacks" indicates a negative and hopeless outlook. This perspective can contribute to increased anxiety and difficulty in managing panic attacks. Education is needed to address and challenge such negative beliefs.
Choice B rationale:
The statement "I'm worried about the consequences of having another panic attack" reflects a valid concern. People with panic disorder often worry about the impact of panic attacks on their daily lives and functioning.
Choice C rationale:
The statement "I feel confident that I can prevent future panic attacks" demonstrates an understanding of coping strategies and confidence in managing panic attacks. This is a positive sign that the client is actively engaged in their treatment and recovery.
Choice D rationale:
The statement "I've learned some relaxation techniques to help manage my anxiety" indicates that the client has acquired useful tools to manage anxiety. This suggests that the client is actively seeking ways to cope with panic attacks, which is a positive indicator.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Asking the client about coping strategies and support systems is an appropriate assessment question for a client with panic disorder. This question allows the nurse to understand how the client manages their panic attacks and identifies the resources available to them. The response can provide insights into the client's adaptive or maladaptive coping mechanisms.
Choice B rationale:
Inquiring about the frequency of panic attacks and their triggers is important, but this question may not be appropriate as the initial assessment question. It's better to first establish a rapport and gather broader information about the client's experiences before delving into specific details.
Choice C rationale:
Asking about current medications is relevant, but it might be more suitable after building rapport and discussing the client's overall situation. Focusing solely on medication can overlook other important aspects of the client's condition and coping strategies.
Choice D rationale:
Inquiring about laboratory tests is not directly relevant to the assessment of panic disorder. Panic disorder is primarily diagnosed based on clinical criteria, and laboratory tests are not typically used for diagnosis.
Correct Answer is ["A","B","C","D","E"]
Explanation
Choice A rationale:
Encourage regular exercise and a healthy diet. Regular exercise and a healthy diet contribute to overall well-being and can have a positive impact on managing anxiety and panic disorder. Exercise releases endorphins, which are natural mood lifters, and a balanced diet supports physical and mental health.
Choice B rationale:
Teach deep breathing and progressive muscle relaxation techniques. Deep breathing and progressive muscle relaxation are evidence-based relaxation techniques that can help manage anxiety and panic symptoms. They promote relaxation and help clients cope with the physical sensations of panic.
Choice C rationale:
Assist with gradually confronting feared situations or places. This approach, known as exposure therapy, is a common component of cognitive-behavioral therapy for panic disorder. Gradual exposure to feared situations or places can help desensitize the client to triggers and reduce the intensity of panic reactions.
Choice D rationale:
Monitor for signs of serotonin syndrome. Serotonin syndrome is a potentially serious condition that can result from interactions between certain medications that affect serotonin levels. Monitoring for signs such as agitation, confusion, rapid heart rate, and high blood pressure is crucial when using medications that impact serotonin.
Choice E rationale:
Educate on the potential side effects of benzodiazepines. Benzodiazepines are sometimes prescribed for short-term relief of acute anxiety or panic symptoms, but they can be habit-forming and have potential side effects like sedation, dizziness, and cognitive impairment. Educating the client about these potential effects is important for informed decision-making.
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