A nurse is assessing a client with panic disorder. Which of the following symptoms should the nurse expect to find during a panic attack? Select all that apply.

Palpitations.

Numbness and tingling.

Increased appetite.

Fear of losing control.

Muscle weakness.

Answer and Explanation

Correct Answer : A,B,D,E

Choice A rationale:

Palpitations, or a racing heart, are a common symptom of panic attacks. The body's "fight or flight" response during a panic attack can lead to rapid heart rate and sensations of palpitations.

Choice B rationale:

Numbness and tingling sensations, often referred to as paresthesias, can occur during a panic attack. These sensations are a result of the body's physiological response to stress, leading to altered sensory perceptions.

Choice D rationale:

Fear of losing control is a characteristic symptom of panic attacks. Individuals with panic disorder often describe feeling as though they are losing control over their thoughts, emotions, or even their physical actions during an attack.

Choice E rationale:

Muscle weakness can be experienced during a panic attack due to the release of stress hormones and the physiological changes that accompany the fight-or-flight response. This weakness can affect various muscle groups.

Choice C rationale:

Increased appetite is not typically associated with panic attacks. Panic attacks are more commonly associated with gastrointestinal symptoms such as nausea or stomach discomfort rather than an increased appetite.

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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)

A. The client reports a decrease in the frequency and severity of panic attacks. B. The client engages in social activities and maintains supportive relationships. C. The client demonstrates effective coping skills and positive self-talk. D. The client adheres to the prescribed treatment regimen and follows up with appointments.

Correct Answer is A

Explanation

Choice A rationale:

If the client reports a decrease in the frequency and severity of panic attacks, it indicates effective management of panic disorder. This outcome suggests that the treatment interventions are successfully reducing the occurrence and intensity of panic attacks, leading to improved overall well-being.

Choice B rationale:

While engaging in social activities and maintaining supportive relationships (choice B) is important for the client's mental health, it doesn't directly indicate the effectiveness of panic disorder management. The client might be socially active but still experiencing panic attacks.

Choice C rationale:

Demonstrating effective coping skills and positive self-talk (choice C) is certainly a positive outcome. However, this alone might not fully reflect the successful management of panic disorder. Effective coping skills are a part of the management plan, but the reduction in panic attack frequency is a more specific indicator of treatment effectiveness.

Choice D rationale:

Adhering to the prescribed treatment regimen and following up with appointments (choice D) is crucial for any medical condition, including panic disorder. However, this outcome doesn't directly measure the reduction in panic attacks, which is a more specific measure of successful management.

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A nurse is assessing a client with panic disorder. Which of the following symptoms should the nurse expect to find during a panic attack? Select all that apply.

Nursing Test Bank

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