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.".
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D","E"]
Explanation
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.
Correct Answer is A
Explanation
Choice A rationale:
This statement accurately describes panic disorder. It is an anxiety disorder characterized by recurrent and unexpected panic attacks—sudden episodes of intense fear or discomfort accompanied by physical and cognitive symptoms. These attacks can lead to significant distress and avoidance behaviors.
Choice B rationale:
Panic disorder is not a type of depression; it is a separate anxiety disorder. While there can be co-occurrence of depression and anxiety disorders, they have distinct diagnostic criteria and features.
Choice C rationale:
Panic disorder is not related to substance abuse, nor is it influenced by biological factors that contribute to substance use disorders. It is primarily a psychological condition related to anxiety.
Choice D rationale:
The PDSS (Panic Disorder Severity Scale) is a tool used to assess the severity of panic disorder symptoms, not to diagnose the disorder itself. A diagnosis of panic disorder is based on clinical criteria outlined in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5)
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