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

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.

Choice A rationale:

Providing a safe and calm environment during a panic attack (choice A) is crucial to help the client feel secure and reduce the intensity of the attack.

Choice B rationale:

Using therapeutic communication skills (choice B) is essential to establish rapport and trust with the client, creating a foundation for effective therapeutic interventions.

Choice C rationale:

Educating the client about panic disorder and its treatment options (choice C) empowers them to actively participate in their treatment and make informed decisions.

Choice D rationale:

Encouraging the client to participate in cognitive-behavioral therapy (CBT) (choice D) is a evidence-based approach for managing panic disorder. CBT helps the client develop coping strategies and change maladaptive thought patterns.

Choice E rationale:

Referring the client to self-help groups for peer support and education (choice E) offers additional resources and insights from individuals who have experienced similar challenges, fostering a sense of community and reducing isolation.