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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
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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