A nurse is caring for a client with panic disorder. Which statement accurately describes panic disorder?
Panic disorder is a type of anxiety disorder that causes intense fear and discomfort.
Panic disorder is a type of depression that leads to social isolation.
Panic disorder is a type of substance abuse that is influenced by biological factors.
Panic disorder is a physical health problem that can be diagnosed using the PDSS.
The Correct Answer is A
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)
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Correct Answer is A
Explanation
Choice A rationale:
Family history of panic disorder is a recognized risk factor, suggesting a genetic predisposition. Anxiety disorders often have a hereditary component.
Choice B rationale:
High blood pressure might not directly lead to panic disorder. However, it could contribute to the overall stress burden on the individual.
Choice C rationale:
Recent weight loss isn't typically associated with an increased risk of panic disorder. Other factors are more relevant to its development.
Choice D rationale:
Allergies aren't linked to an increased risk of panic disorder. This choice lacks a plausible biological or psychological connection.
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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