A nurse is creating a plan of care for a client who has panic disorder. Which of the following interventions should the nurse include?

Encourage the client to attend group therapy sessions.

Allow the client to choose scheduled daily activities.

Use simple words to describe procedures to the client.

Avoid discussing topics that can trigger a panic attack.

Answer and Explanation

The Correct Answer is C

A reason: Encourage the client to attend group therapy sessions. While group therapy can be beneficial for some clients, it may not be the best initial approach for those with panic disorder. Group settings can sometimes increase anxiety and trigger panic attacks.

B reason: Allow the client to choose scheduled daily activities. While allowing clients some control over their daily activities can be empowering, it does not directly address the symptoms of panic disorder. Structured interventions and therapeutic techniques are more effective.

C reason: Use simple words to describe procedures to the client. Using simple, clear language when explaining procedures helps reduce anxiety and prevent misunderstandings that could trigger a panic attack. This approach is particularly effective for clients with panic disorder, who may become easily overwhelmed.

D reason: Avoid discussing topics that can trigger a panic attack. While it is important to be mindful of topics that may cause distress, complete avoidance can prevent clients from learning to manage their triggers. Therapeutic approaches often involve gradual exposure to triggers in a controlled and supportive environment.

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Correct Answer is A

Explanation

A reason: The client has a serotonin deficiency. A serotonin deficiency is a known biological risk factor for major depressive disorder. Low levels of serotonin in the brain can contribute to depressive symptoms.

B reason: The client has acute bronchitis. Acute bronchitis is a respiratory condition and is not a recognized risk factor for major depressive disorder.

C reason: The client has an elevated calcium level. Elevated calcium levels can indicate hyperparathyroidism but are not specifically associated with an increased risk of major depressive disorder.

D reason: The client is an only child. Being an only child is not a recognized risk factor for major depressive disorder. Risk factors are more commonly related to biological, psychological, and environmental factors.

A. Slow speech. B. Rapid mood changes. C. Hallucinations. D. Unaltered level of consciousness. E. Restlessness.

Correct Answer is ["B","C","E"]

Explanation

A reason: Slow speech. Slow speech is not typically associated with delirium. Clients with delirium often exhibit rapid and disorganized speech rather than slowed speech patterns.

B reason: Rapid mood changes. Rapid mood changes are common in delirium. Clients may quickly shift from calm to agitated or from happy to irritable, reflecting the fluctuating nature of their cognitive status.

C reason: Hallucinations. Hallucinations, particularly visual or auditory, are a common symptom of delirium. Clients may see or hear things that are not present, contributing to their confusion and distress.

D reason: Unaltered level of consciousness. Delirium is characterized by altered levels of consciousness, not unaltered. Clients may experience fluctuating alertness, from drowsiness to hyperactivity.

E reason: Restlessness. Restlessness and agitation are hallmark symptoms of delirium. Clients may become physically restless, unable to sit still, and exhibit purposeless movements.

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A nurse is creating a plan of care for a client who has panic disorder. Which of the following interventions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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