A nurse is conducting a nursing assessment for a client with panic disorder. Which data should the nurse collect during the assessment?
The client's vital signs, weight, height, and BMI.
The client's support system, self-esteem, and coping strategies.
The client's medical history, medication use, and family history.
The client's laboratory tests and diagnostic tools.
The Correct Answer is C
Choice A rationale:
Collecting vital signs, weight, height, and BMI is important for a general health assessment, but these measurements are not the primary focus when assessing a client with panic disorder.
Choice B rationale:
Gathering information about the client's support system, self-esteem, and coping strategies is relevant for understanding the client's overall well-being, but it may not provide as much insight into the specific factors contributing to panic disorder.
Choice C rationale:
This choice is correct because it addresses essential aspects of the assessment for a client with panic disorder. Understanding the client's medical history can reveal any underlying health conditions that might contribute to anxiety. Knowledge of medication use is crucial to identify potential interactions or side effects that could exacerbate anxiety. Family history provides insight into genetic predispositions and potential risk factors.
Choice D rationale:
Collecting laboratory tests and diagnostic tools might be necessary for ruling out other medical conditions that could mimic anxiety symptoms, but these should be secondary to gathering information about medical history, medication use, and family history when assessing a client with panic disorder.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
"Tell me about your coping strategies and support system." This choice may not be the most appropriate initial question because it focuses on coping strategies and support systems rather than gathering information about the frequency and triggers of panic attacks. While coping strategies and support systems are important, understanding the pattern of panic attacks is crucial for assessment and planning.
Choice B rationale:
"How often do you experience panic attacks and what triggers them?" This is the correct choice. It directly addresses the primary concerns related to panic disorder by inquiring about the frequency of panic attacks and their triggers. This information is essential for developing a comprehensive understanding of the client's condition and tailoring an effective treatment plan.
Choice C rationale:
"What medications are you currently taking for your panic disorder?" While inquiring about medication use is important, this question should come after understanding the frequency and triggers of panic attacks. Knowing about medications alone does not provide a holistic picture of the client's experience with panic disorder.
Choice D rationale:
"Have you ever had any laboratory tests done for your panic disorder?" This question is not directly relevant to the assessment of panic disorder. Panic disorder is primarily diagnosed based on clinical symptoms and criteria outlined in diagnostic manuals like the DSM-5. Laboratory tests are not routinely used for diagnosing panic disorder, so this question might not yield pertinent information for assessment.
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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