A nurse is caring for a client with panic disorder who is prescribed pharmacological treatment. Which interventions should the nurse include in the plan of care? Select all that apply.

Encourage regular exercise and a healthy diet.

Teach deep breathing and progressive muscle relaxation techniques.

Assist with gradually confronting feared situations or places.

Monitor for signs of serotonin syndrome.

Educate on the potential side effects of benzodiazepines.

Answer and Explanation

Correct Answer : A,B,C,D,E

Choice A rationale:

Encourage regular exercise and a healthy diet. Regular exercise and a healthy diet contribute to overall well-being and can have a positive impact on managing anxiety and panic disorder. Exercise releases endorphins, which are natural mood lifters, and a balanced diet supports physical and mental health.

Choice B rationale:

Teach deep breathing and progressive muscle relaxation techniques. Deep breathing and progressive muscle relaxation are evidence-based relaxation techniques that can help manage anxiety and panic symptoms. They promote relaxation and help clients cope with the physical sensations of panic.

Choice C rationale:

Assist with gradually confronting feared situations or places. This approach, known as exposure therapy, is a common component of cognitive-behavioral therapy for panic disorder. Gradual exposure to feared situations or places can help desensitize the client to triggers and reduce the intensity of panic reactions.

Choice D rationale:

Monitor for signs of serotonin syndrome. Serotonin syndrome is a potentially serious condition that can result from interactions between certain medications that affect serotonin levels. Monitoring for signs such as agitation, confusion, rapid heart rate, and high blood pressure is crucial when using medications that impact serotonin.

Choice E rationale:

Educate on the potential side effects of benzodiazepines. Benzodiazepines are sometimes prescribed for short-term relief of acute anxiety or panic symptoms, but they can be habit-forming and have potential side effects like sedation, dizziness, and cognitive impairment. Educating the client about these potential effects is important for informed decision-making.

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Correct Answer is A

Explanation

Choice A rationale:

Teaching relaxation techniques is a priority intervention for clients with panic disorder. Relaxation techniques, such as deep breathing, progressive muscle relaxation, and mindfulness, can help manage anxiety symptoms and reduce the frequency and intensity of panic attacks. These techniques empower clients to regain a sense of control over their anxiety.

Choice B rationale:

Administering antianxiety medication can be a helpful intervention, but it should not be prioritized over non-pharmacological approaches like teaching relaxation techniques. Medications may have side effects and are typically considered after other strategies have been explored.

Choice C rationale:

Encouraging socialization is important for overall mental health, but it may not directly address the immediate needs of a client experiencing panic disorder. Managing panic attacks and providing coping mechanisms should take precedence during the assessment.

Choice D rationale:

Monitoring vital signs regularly is important, but it is not the highest priority for a client with panic disorder. Addressing anxiety symptoms and providing appropriate interventions to manage panic attacks should come first.

A. "Cognitive-behavioral therapy can help me challenge negative thoughts.". B. "Exposure therapy can provide additional benefits for my anxiety and mood.". C. "Lifestyle modifications can reduce physical symptoms of panic attacks.". D. "Complementary therapies can replace the need for medications.".

Correct Answer is A

Explanation

Choice A rationale:

Cognitive-behavioral therapy (CBT) is a well-established non-pharmacological treatment for panic disorder. It focuses on identifying and challenging negative thought patterns and beliefs that contribute to anxiety. By addressing these cognitive distortions, clients can learn to manage their panic symptoms more effectively.

Choice B rationale:

Exposure therapy is another evidence-based approach for treating anxiety disorders. However, it involves gradual exposure to feared situations or stimuli to reduce anxiety over time. While it can benefit clients with panic disorder, it does not specifically address challenging negative thoughts as CBT does.

Choice C rationale:

Lifestyle modifications, such as regular exercise, a balanced diet, and stress reduction techniques, can indeed help reduce physical symptoms associated with panic attacks. However, they do not directly address the cognitive and emotional aspects of panic disorder like CBT does.

Choice D rationale:

Complementary therapies may have a role in managing anxiety, but they are unlikely to replace the need for medications or evidence-based psychotherapies. These therapies, such as acupuncture or herbal remedies, are typically used as adjuncts to conventional treatments rather than substitutes.

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A nurse is caring for a client with panic disorder who is prescribed pharmacological treatment. Which interventions should the nurse include in the plan of care? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client with panic disorder. Which of the following interventions should the nurse prioritize?

Correct Answer is A

Explanation

A nurse is providing education to a client with panic disorder about non-pharmacological treatment options. Which statement by the client indicates understanding of the teaching?

Correct Answer is A

Explanation

Which statement accurately describes the nursing care for panic disorder?

A client with panic disorder is experiencing anticipatory anxiety. Which of the following statements by the client indicates an understanding of anticipatory anxiety?

A client with panic disorder expresses concern about having another panic attack. Which of the following statements by the client indicates a need for further education?

A nurse is providing interventions for a client with panic disorder. Which interventions should the nurse include in the plan of care? (Select all that apply)

A nurse is assessing a client with panic disorder. Which statement by the nurse would be appropriate during the assessment?

A nurse is providing education to a client diagnosed with panic disorder. Which of the following statements by the client indicates an understanding of the disorder?

A nurse is assessing a client with panic disorder who is prescribed benzodiazepines. Which statement by the client indicates a need for further education?

A nurse is evaluating the outcomes for a client with panic disorder. Which outcome would indicate effective management of panic disorder?