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.".

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A rationale:

Beta-blockers are not commonly used for the pharmacological treatment of panic disorder. While they are used for conditions like hypertension and certain heart conditions, they are not the primary choice for panic disorder. Panic disorder primarily involves disturbances in brain neurotransmitters, which beta-blockers do not directly target.

Choice B rationale:

Anticonvulsants are not the primary choice for treating panic disorder. While they may be used for other conditions such as epilepsy or bipolar disorder, their effectiveness in treating panic disorder is limited compared to other classes of medications like SSRIs.

Choice C rationale:

Selective serotonin reuptake inhibitors (SSRIs) are commonly used for the pharmacological treatment of panic disorder. Panic disorder often involves imbalances in serotonin, a neurotransmitter that plays a crucial role in mood regulation. SSRIs help increase serotonin levels in the brain by blocking its reuptake, thereby alleviating symptoms of panic and anxiety.

Choice D rationale:

Tricyclic antidepressants (TCAs) are sometimes used for panic disorder, but they are not the first-line treatment due to their potential side effects and safety concerns. SSRIs have largely replaced TCAs as the preferred choice due to their better tolerability and safety profile.

A. "You should avoid situations that might trigger your panic attacks.". B. "Having panic attacks means there's something physically wrong with you.". C. "You should try to ignore your panic attacks and distract yourself.". D. "It's common for people with panic disorder to also experience depression.".

Correct Answer is B

Explanation

Choice A rationale:

Advising the client to avoid triggering situations oversimplifies the management of panic disorder. Exposure therapy is a common treatment, gradually confronting feared situations to reduce anxiety.

Choice B rationale:

This choice reflects an appropriate understanding of panic disorder. Panic attacks are primarily driven by psychological factors, and reassuring the client that there's nothing physically wrong helps reduce unnecessary health concerns.

Choice C rationale:

Encouraging the client to ignore panic attacks isn't therapeutic. Acknowledging and learning to manage the attacks, rather than suppressing them, is essential.

Choice D rationale:

While comorbidity exists, directly associating panic disorder with depression can be misleading. Not all individuals with panic disorder experience depression.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which class of medications is commonly used for the pharmacological treatment of panic disorder?

Correct Answer is C

Explanation

A nurse is providing care to a client with panic disorder. Which of the following statements by the nurse is appropriate?

Correct Answer is B

Explanation

Which statement accurately describes the nursing care for panic disorder?

A nurse is formulating nursing diagnoses for a client with panic disorder. Which nursing diagnosis would be appropriate for this client?

A nurse is assessing a client with panic disorder. Which statement by the nurse would be appropriate during the assessment?

Which of the following is a possible risk factor for panic disorder?

A nurse is providing interventions for a client with panic disorder. Which interventions should the nurse include in the plan of care? (Select all that apply)

A nurse is providing interventions for a client with panic disorder. Which interventions should the nurse include in the plan of care? (Select all that apply)

A nurse is providing education to a client with panic disorder about non-pharmacological treatment options. Which statement by the client indicates understanding of the teaching?

A nurse is assessing a client with panic disorder who is prescribed benzodiazepines. Which statement by the client indicates a need for further education?