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 B

Explanation

Choice A rationale:

The statement "I think my panic attacks are caused by a specific substance I'm using" suggests a possible link between substance use and panic attacks, which is not a typical characteristic of panic disorder. Panic disorder is primarily characterized by recurrent and unexpected panic attacks, not necessarily triggered by specific substances.

Choice B rationale:

The statement "I avoid situations that might trigger my panic attacks" reflects an understanding of the disorder. People with panic disorder often develop avoidance behaviors to prevent or minimize the occurrence of panic attacks. Avoidance of triggers is a common coping mechanism used to manage the fear associated with panic attacks.

Choice C rationale:

The statement "I don't worry about having more panic attacks" contradicts the typical experience of individuals with panic disorder. People with panic disorder often have heightened worry and fear about experiencing more panic attacks, which contributes to the cycle of anxiety.

Choice D rationale:

The statement "I believe my panic attacks are a result of a physical health problem" suggests a misunderstanding of panic disorder. While panic attacks can manifest with physical symptoms, they are primarily caused by psychological factors, such as anxiety and fear, rather than solely by physical health problems.

A. "Tell me about your coping strategies and support system.". B. "How often do you experience panic attacks and what triggers them?". C. "What medications are you currently taking for your panic disorder?". D. "Have you ever had any laboratory tests done for your panic disorder?".

Correct Answer is A

Explanation

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.

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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.

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Naxlex Comprehensive Predictor Exams

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Explanation

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Explanation

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