A nurse is evaluating the outcomes for a client with panic disorder. Which outcome would indicate effective management of panic disorder?

The client reports a decrease in the frequency and severity of panic attacks.

The client engages in social activities and maintains supportive relationships.

The client demonstrates effective coping skills and positive self-talk.

The client adheres to the prescribed treatment regimen and follows up with appointments.

Answer and Explanation

The Correct Answer is A

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.

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Correct Answer is C

Explanation

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.

A. "You should avoid situations that might trigger your panic attacks.". B. "Having panic attacks means there's something physically wrong with you.". C. "You should try to ignore your panic attacks and distract yourself.". D. "It's common for people with panic disorder to also experience depression.".

Correct Answer is D

Explanation

The correct answer is Choice D.

Choice A rationale: Avoidance reinforces fear conditioning and impairs extinction learning; exposure-based strategies are more effective in reducing panic symptoms and restoring functional coping through cognitive-behavioral therapy.

Choice B rationale: Panic attacks are driven by autonomic dysregulation and cognitive misinterpretation, not physical pathology; suggesting physical illness increases somatic focus and health anxiety, worsening panic disorder outcomes.

Choice C rationale: Ignoring panic attacks delays cognitive restructuring and emotional processing; distraction may help short-term but does not address underlying maladaptive beliefs or autonomic hyperarousal.

Choice D rationale: Comorbidity between panic disorder and depression is well-documented; shared neurobiological pathways and chronic distress increase risk for mood disorders, requiring integrated assessment and treatment planning.

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A nurse is evaluating the outcomes for a client with panic disorder. Which outcome would indicate effective management of panic disorder?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is C

Explanation

A nurse is providing care to a client with panic disorder. Which of the following statements by the nurse is appropriate?

Correct Answer is D

Explanation

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