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 C

Explanation

Choice A rationale:

Monitoring vital signs, weight, height, and BMI (choice A) is relevant for a general health assessment, but it is not specific to evaluating a client with panic disorder.

Choice B rationale:

Assessing the client's support system, self-esteem, and coping strategies (choice B) is important for understanding the client's psychosocial well-being, but it doesn't directly provide information about their panic disorder and its management.

Choice C rationale:

Collecting the client's medical history, medication use, and family history (choice C) is crucial for assessing the context of the panic disorder. Medical history helps identify any contributing factors, medication use informs about the current treatment, and family history might reveal a genetic predisposition or relevant psychosocial factors.

Choice D rationale:

Requesting laboratory tests and diagnostic tools (choice D) can be useful in ruling out medical conditions that may mimic panic disorder symptoms, but they are not the primary focus of a panic disorder assessment.

A. "Tell me about your coping strategies and support system.". B. "How often do you experience panic attacks and what triggers them?". C. "What medications are you currently taking for your panic disorder?". D. "Have you ever had any laboratory tests done for your panic disorder?".

Correct Answer is A

Explanation

Choice A rationale:

Asking the client about coping strategies and support systems is an appropriate assessment question for a client with panic disorder. This question allows the nurse to understand how the client manages their panic attacks and identifies the resources available to them. The response can provide insights into the client's adaptive or maladaptive coping mechanisms.

Choice B rationale:

Inquiring about the frequency of panic attacks and their triggers is important, but this question may not be appropriate as the initial assessment question. It's better to first establish a rapport and gather broader information about the client's experiences before delving into specific details.

Choice C rationale:

Asking about current medications is relevant, but it might be more suitable after building rapport and discussing the client's overall situation. Focusing solely on medication can overlook other important aspects of the client's condition and coping strategies.

Choice D rationale:

Inquiring about laboratory tests is not directly relevant to the assessment of panic disorder. Panic disorder is primarily diagnosed based on clinical criteria, and laboratory tests are not typically used for diagnosis.

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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 conducting a nursing assessment for a client with panic disorder. Which data should the nurse collect during the assessment?

Correct Answer is C

Explanation

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

Correct Answer is A

Explanation

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 education to a client with panic disorder about the pharmacological treatment options. Which statement by the client indicates understanding of the teaching?

A nurse is caring for a client with panic disorder. Which statement accurately describes panic disorder?

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

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

A nurse is conducting a nursing assessment for a client with panic disorder. Which data should the nurse collect during the assessment?

Which class of medications is commonly used for the pharmacological treatment of panic disorder?