A nurse is caring for a client diagnosed with panic disorder. Which of the following complications should the nurse monitor for in this client?

Choice A rationale:

Substance abuse can be a significant complication of panic disorder. Individuals might turn to drugs or alcohol in attempts to self-medicate or alleviate symptoms.

Choice B rationale:

Hypertension isn't a primary complication of panic disorder. Panic attacks can lead to transient increases in blood pressure, but chronic hypertension isn't a well-documented outcome.

Choice C rationale:

Diabetes and panic disorder aren't directly linked. However, chronic stress and anxiety could potentially influence blood sugar levels in those predisposed to diabetes.

Choice D rationale:

Osteoporosis isn't a known complication of panic disorder. There's no physiological connection between panic attacks and bone health.

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.