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.

Answer and Explanation

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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Correct Answer is B

Explanation

Choice A rationale:

Advising the client to avoid triggering situations oversimplifies the management of panic disorder. Exposure therapy is a common treatment, gradually confronting feared situations to reduce anxiety.

Choice B rationale:

This choice reflects an appropriate understanding of panic disorder. Panic attacks are primarily driven by psychological factors, and reassuring the client that there's nothing physically wrong helps reduce unnecessary health concerns.

Choice C rationale:

Encouraging the client to ignore panic attacks isn't therapeutic. Acknowledging and learning to manage the attacks, rather than suppressing them, is essential.

Choice D rationale:

While comorbidity exists, directly associating panic disorder with depression can be misleading. Not all individuals with panic disorder experience depression.

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

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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