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.
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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Related Questions
Correct Answer is ["A","B"]
Explanation
Choice A rationale:
Providing a safe and calm environment for the client during a panic attack is crucial to help minimize distress and prevent harm. Panic attacks can lead to heightened anxiety and fear, and creating a safe space can help the client feel secure. This intervention aids in reducing the overall intensity and duration of the panic attack.
Choice B rationale:
Using therapeutic communication skills to establish rapport and trust with the client is essential in managing panic disorder. By employing active listening, empathy, and non-judgmental responses, the nurse can create a supportive environment. Building a therapeutic relationship enhances the client's willingness to communicate, share their experiences, and adhere to the treatment plan.
Choice C rationale:
Educating the client about panic disorder and its treatment options is important, but it might be overwhelming during a panic attack. Providing education can be more effective when the client is relatively stable and receptive. The immediate focus during a panic attack should be on providing comfort and support.
Choice D rationale:
Encouraging the client to participate in cognitive-behavioral therapy (CBT) is a valuable intervention for panic disorder. However, suggesting this during a panic attack might not be appropriate, as the client's focus and ability to engage in a discussion could be compromised. It's better to introduce the idea of CBT when the client is in a more receptive state.
Choice E rationale:
Referring the client to self-help groups for peer support and education is also a beneficial intervention. However, during a panic attack, the client may not be open to the idea of group involvement. This recommendation is better suited for a calmer moment when the client can consider it more rationally.
Correct Answer is A
Explanation
Choice A rationale:
Cognitive-behavioral therapy (CBT) is a psychotherapy technique commonly used to help clients with panic disorder. It focuses on identifying and challenging negative thought patterns and behaviors that contribute to panic attacks. By changing these thought-behavior patterns, individuals can better manage their panic symptoms.
Choice B rationale:
Exposure therapy is another psychotherapy technique used for panic disorder. It involves gradually exposing clients to their feared situations or places in a controlled and supportive environment. Through repeated exposure, individuals can learn to tolerate and manage their anxiety, leading to a reduction in panic attacks.
Choice C rationale:
Relaxation techniques are not the primary psychotherapy technique for panic disorder. While relaxation techniques can help manage general anxiety, panic disorder often requires more targeted interventions like CBT and exposure therapy.
Choice D rationale:
Lifestyle modifications can be beneficial for managing anxiety in general, but they are not a psychotherapy technique specifically designed to help clients confront their feared situations. Psychotherapy techniques like CBT and exposure therapy are more effective in this context.
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