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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is C
Explanation
Choice A rationale:
"I should avoid medications that increase serotonin levels in the brain." While avoiding medications that increase serotonin levels is relevant in some cases, it's not a comprehensive understanding of pharmacological treatment for panic disorder. Serotonin-related medications like selective serotonin reuptake inhibitors (SSRIs) are commonly used for panic disorder treatment.
Choice B rationale:
"Antihypertensives can help reduce physical symptoms of panic attacks." This statement is not accurate. Antihypertensives are not commonly used to treat panic disorder. Medications like beta-blockers may be prescribed to manage some physical symptoms of anxiety, but they are not a primary treatment for panic disorder.
Choice C rationale:
"Antiepileptics can enhance the effects of gamma-aminobutyric acid (GABA) in the brain." This is the correct choice. Antiepileptic medications like pregabalin and gabapentin can indeed enhance the effects of GABA, an inhibitory neurotransmitter that helps reduce anxiety and panic. These medications are sometimes used to manage panic disorder symptoms.
Choice D rationale:
"Tricyclic antidepressants inhibit the reuptake of norepinephrine in the brain." While tricyclic antidepressants have been used historically to treat panic disorder, they are not considered first-line treatments due to their potential side effects and the availability of newer, safer options. The statement in Choice D is accurate but not as relevant to current treatment approaches.
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