A nurse is caring for a client recently diagnosed with panic disorder. The provider has prescribed pharmacologic treatment. Which of the following medications are commonly used in the treatment of panic disorder? (Select all that apply.)

Propranolol

Clonidine

Alprazolam

Buspirone

Clonazepam

Answer and Explanation

Correct Answer : C,E

Choice A reason: Propranolol is a beta-blocker primarily used for performance-related anxiety and physical symptoms like tremors or palpitations. It is not considered first-line or standard treatment for panic disorder.

Choice B reason: Clonidine is an alpha-2 adrenergic agonist used more often for hypertension, withdrawal syndromes, and sometimes ADHD. It is not a recommended pharmacologic option for panic disorder.

Choice C reason: Alprazolam, a benzodiazepine, is effective for acute management of panic attacks by rapidly reducing anxiety. However, it is generally used short-term due to risks of tolerance, dependence, and withdrawal.

Choice D reason: Buspirone is an anxiolytic used mainly for generalized anxiety disorder. It lacks efficacy in panic disorder and is not typically prescribed for it.

Choice E reason: Clonazepam, another benzodiazepine, is often used to manage panic disorder due to its longer half-life compared to alprazolam, making it effective in reducing frequency and severity of panic attacks.

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Correct Answer is A

Explanation

Choice A reason: Redirecting the focus back to the patient in a therapeutic and nonjudgmental way ensures the conversation remains centered on the client’s needs. This maintains professional boundaries while being supportive.

Choice B reason: Stating that nurses direct interviews is authoritative and may come across as rigid. It does not encourage patient openness.

Choice C reason: Responding with a prohibition sounds harsh and judgmental. It could damage rapport and shut down communication.

Choice D reason: Asking "why" can make the patient feel defensive, which is not therapeutic. It shifts the focus to justification rather than reflection.

A. Avoid foods high in tyramine, such as aged cheeses, smoked meats, and fermented products. B. Use over-the-counter cold medications containing pseudoephedrine cautiously. C. Take the medication with food to minimize gastrointestinal upset. D. Avoid driving or operating heavy machinery until the effects are known.

Correct Answer is A

Explanation

Choice A reason: The most critical teaching with MAOIs is to avoid foods containing tyramine. Eating these foods can trigger a hypertensive crisis, a potentially fatal complication.

Choice B reason: Cold medications with pseudoephedrine may also increase blood pressure and should be avoided, but dietary restrictions are more essential because food exposure is more common and life-threatening if overlooked.

Choice C reason: Taking the medication with food may reduce mild gastrointestinal side effects, but this is not the priority safety teaching.

Choice D reason: Avoiding hazardous activities until medication effects are known is general advice for many psychotropic drugs, but it is not specific or lifesaving for MAOI therapy.

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A nurse is caring for a client recently diagnosed with panic disorder. The provider has prescribed pharmacologic treatment. Which of the following medications are commonly used in the treatment of panic disorder? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During an interview, a patient attempts to shift the focus from self to the nurse by asking personal questions. The nurse should respond by saying:

Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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