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 ["A","B"]

Explanation

Choice A rationale:

Providing a safe and calm environment for the client during a panic attack is crucial to help minimize distress and prevent harm. Panic attacks can lead to heightened anxiety and fear, and creating a safe space can help the client feel secure. This intervention aids in reducing the overall intensity and duration of the panic attack.

Choice B rationale:

Using therapeutic communication skills to establish rapport and trust with the client is essential in managing panic disorder. By employing active listening, empathy, and non-judgmental responses, the nurse can create a supportive environment. Building a therapeutic relationship enhances the client's willingness to communicate, share their experiences, and adhere to the treatment plan.

Choice C rationale:

Educating the client about panic disorder and its treatment options is important, but it might be overwhelming during a panic attack. Providing education can be more effective when the client is relatively stable and receptive. The immediate focus during a panic attack should be on providing comfort and support.

Choice D rationale:

Encouraging the client to participate in cognitive-behavioral therapy (CBT) is a valuable intervention for panic disorder. However, suggesting this during a panic attack might not be appropriate, as the client's focus and ability to engage in a discussion could be compromised. It's better to introduce the idea of CBT when the client is in a more receptive state.

Choice E rationale:

Referring the client to self-help groups for peer support and education is also a beneficial intervention. However, during a panic attack, the client may not be open to the idea of group involvement. This recommendation is better suited for a calmer moment when the client can consider it more rationally.

A. The client's vital signs, weight, height, and BMI. B. The client's support system, self-esteem, and coping strategies. C. The client's medical history, medication use, and family history. D. The client's laboratory tests and diagnostic tools.

Correct Answer is C

Explanation

Choice A rationale:

Monitoring vital signs, weight, height, and BMI (choice A) is relevant for a general health assessment, but it is not specific to evaluating a client with panic disorder.

Choice B rationale:

Assessing the client's support system, self-esteem, and coping strategies (choice B) is important for understanding the client's psychosocial well-being, but it doesn't directly provide information about their panic disorder and its management.

Choice C rationale:

Collecting the client's medical history, medication use, and family history (choice C) is crucial for assessing the context of the panic disorder. Medical history helps identify any contributing factors, medication use informs about the current treatment, and family history might reveal a genetic predisposition or relevant psychosocial factors.

Choice D rationale:

Requesting laboratory tests and diagnostic tools (choice D) can be useful in ruling out medical conditions that may mimic panic disorder symptoms, but they are not the primary focus of a panic disorder assessment.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is providing interventions for a client with panic disorder. Which interventions should the nurse include in the plan of care? (Select all that apply)

Correct Answer is ["A","B"]

Explanation

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

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