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:

Beta-blockers are not commonly used for the pharmacological treatment of panic disorder. While they are used for conditions like hypertension and certain heart conditions, they are not the primary choice for panic disorder. Panic disorder primarily involves disturbances in brain neurotransmitters, which beta-blockers do not directly target.

Choice B rationale:

Anticonvulsants are not the primary choice for treating panic disorder. While they may be used for other conditions such as epilepsy or bipolar disorder, their effectiveness in treating panic disorder is limited compared to other classes of medications like SSRIs.

Choice C rationale:

Selective serotonin reuptake inhibitors (SSRIs) are commonly used for the pharmacological treatment of panic disorder. Panic disorder often involves imbalances in serotonin, a neurotransmitter that plays a crucial role in mood regulation. SSRIs help increase serotonin levels in the brain by blocking its reuptake, thereby alleviating symptoms of panic and anxiety.

Choice D rationale:

Tricyclic antidepressants (TCAs) are sometimes used for panic disorder, but they are not the first-line treatment due to their potential side effects and safety concerns. SSRIs have largely replaced TCAs as the preferred choice due to their better tolerability and safety profile.

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.

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Naxlex Comprehensive Predictor Exams

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

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

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

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?

Which psychotherapy technique can help clients with panic disorder gradually confront their feared situations or places?

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

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

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