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.
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Naxlex Comprehensive Predictor Exams
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Correct Answer is D
Explanation
Choice A rationale:
Taking benzodiazepines as needed for panic attacks is an incorrect statement. Benzodiazepines are generally not intended for "as-needed" use due to the risk of dependence and withdrawal. They are typically prescribed on a scheduled basis to provide consistent anxiety relief.
Choice B rationale:
Avoiding alcohol while taking benzodiazepines is important due to potential interactions between alcohol and the medication. Both substances can have central nervous system depressant effects, which can lead to increased drowsiness, impaired coordination, and cognitive deficits.
Choice C rationale:
Experiencing drowsiness and dizziness are common side effects of benzodiazepines. Educating the client about these potential side effects is necessary to promote safety and to avoid engaging in activities that require alertness while taking the medication.
Choice D rationale:
This statement indicates a need for further education. Abruptly stopping benzodiazepines can lead to withdrawal symptoms, which may include increased anxiety, irritability, insomnia, and even seizures. Benzodiazepines should be tapered off gradually under medical supervision.
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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