A nurse is assessing a client with panic disorder. Which statement by the nurse would be appropriate during the assessment?
"Tell me about your coping strategies and support system.".
"How often do you experience panic attacks and what triggers them?".
"What medications are you currently taking for your panic disorder?".
"Have you ever had any laboratory tests done for your panic disorder?".
The Correct Answer is A
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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Naxlex Comprehensive Predictor Exams
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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.
Correct Answer is B
Explanation
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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