A client with panic disorder is experiencing anticipatory anxiety. Which of the following statements by the client indicates an understanding of anticipatory anxiety?

"I'm not worried about having another panic attack.".

"I'm afraid of being in situations where escape might be difficult.".

"I don't think my panic attacks are related to my thought patterns.".

"I believe my panic attacks are caused by a substance I'm using.".

Answer and Explanation

The Correct Answer is B

Choice A rationale:

The statement "I'm not worried about having another panic attack" indicates a lack of understanding of anticipatory anxiety. Anticipatory anxiety is characterized by the fear of experiencing future panic attacks, so this statement contradicts that concept.

Choice B rationale:

This choice is correct because it reflects an accurate understanding of anticipatory anxiety. Anticipatory anxiety is the fear of being in situations or places where escape might be challenging or embarrassing in the event of a panic attack. This fear often leads to avoidance behavior and can worsen the overall anxiety.

Choice C rationale:

The statement "I don't think my panic attacks are related to my thought patterns" suggests a misunderstanding of the connection between thoughts and panic attacks. In reality, panic attacks are often triggered by anxious thoughts and thought patterns.

Choice D rationale:

The statement "I believe my panic attacks are caused by a substance I'm using" indicates a different perspective on the origin of panic attacks. While substance use can contribute to anxiety or trigger panic attacks in some cases, anticipatory anxiety specifically refers to the fear of future panic attacks, not their immediate causes.

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Correct Answer is B

Explanation

Choice A rationale:

"Tell me about your coping strategies and support system." This choice may not be the most appropriate initial question because it focuses on coping strategies and support systems rather than gathering information about the frequency and triggers of panic attacks. While coping strategies and support systems are important, understanding the pattern of panic attacks is crucial for assessment and planning.

Choice B rationale:

"How often do you experience panic attacks and what triggers them?" This is the correct choice. It directly addresses the primary concerns related to panic disorder by inquiring about the frequency of panic attacks and their triggers. This information is essential for developing a comprehensive understanding of the client's condition and tailoring an effective treatment plan.

Choice C rationale:

"What medications are you currently taking for your panic disorder?" While inquiring about medication use is important, this question should come after understanding the frequency and triggers of panic attacks. Knowing about medications alone does not provide a holistic picture of the client's experience with panic disorder.

Choice D rationale:

"Have you ever had any laboratory tests done for your panic disorder?" This question is not directly relevant to the assessment of panic disorder. Panic disorder is primarily diagnosed based on clinical symptoms and criteria outlined in diagnostic manuals like the DSM-5. Laboratory tests are not routinely used for diagnosing panic disorder, so this question might not yield pertinent information for assessment.

A. Teach relaxation techniques. B. Administer antianxiety medication. C. Encourage socialization. D. Monitor vital signs regularly.

Correct Answer is A

Explanation

Choice A rationale:

Teaching relaxation techniques is a priority intervention for clients with panic disorder. Relaxation techniques, such as deep breathing, progressive muscle relaxation, and mindfulness, can help manage anxiety symptoms and reduce the frequency and intensity of panic attacks. These techniques empower clients to regain a sense of control over their anxiety.

Choice B rationale:

Administering antianxiety medication can be a helpful intervention, but it should not be prioritized over non-pharmacological approaches like teaching relaxation techniques. Medications may have side effects and are typically considered after other strategies have been explored.

Choice C rationale:

Encouraging socialization is important for overall mental health, but it may not directly address the immediate needs of a client experiencing panic disorder. Managing panic attacks and providing coping mechanisms should take precedence during the assessment.

Choice D rationale:

Monitoring vital signs regularly is important, but it is not the highest priority for a client with panic disorder. Addressing anxiety symptoms and providing appropriate interventions to manage panic attacks should come first.

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A client with panic disorder is experiencing anticipatory anxiety. Which of the following statements by the client indicates an understanding of anticipatory anxiety?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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