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","C","D","E"]

Explanation

Choice A rationale:

Encourage regular exercise and a healthy diet. Regular exercise and a healthy diet contribute to overall well-being and can have a positive impact on managing anxiety and panic disorder. Exercise releases endorphins, which are natural mood lifters, and a balanced diet supports physical and mental health.

Choice B rationale:

Teach deep breathing and progressive muscle relaxation techniques. Deep breathing and progressive muscle relaxation are evidence-based relaxation techniques that can help manage anxiety and panic symptoms. They promote relaxation and help clients cope with the physical sensations of panic.

Choice C rationale:

Assist with gradually confronting feared situations or places. This approach, known as exposure therapy, is a common component of cognitive-behavioral therapy for panic disorder. Gradual exposure to feared situations or places can help desensitize the client to triggers and reduce the intensity of panic reactions.

Choice D rationale:

Monitor for signs of serotonin syndrome. Serotonin syndrome is a potentially serious condition that can result from interactions between certain medications that affect serotonin levels. Monitoring for signs such as agitation, confusion, rapid heart rate, and high blood pressure is crucial when using medications that impact serotonin.

Choice E rationale:

Educate on the potential side effects of benzodiazepines. Benzodiazepines are sometimes prescribed for short-term relief of acute anxiety or panic symptoms, but they can be habit-forming and have potential side effects like sedation, dizziness, and cognitive impairment. Educating the client about these potential effects is important for informed decision-making.

A. "I should avoid medications that increase serotonin levels in the brain.” B. "Antihypertensives can help reduce physical symptoms of panic attacks.” C. "Antiepileptics can enhance the effects of gamma-aminobutyric acid (GABA) in the brain.” D. "Tricyclic antidepressants inhibit the reuptake of norepinephrine in the brain.”

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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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 caring for a client with panic disorder who is prescribed pharmacological treatment. Which interventions should the nurse include in the plan of care? Select all that apply.

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

Explanation

A nurse is providing education to a client with panic disorder about the pharmacological treatment options. Which statement by the client indicates understanding of the teaching?

Correct Answer is C

Explanation

A nurse is caring for a client with panic disorder. Which statement accurately describes panic disorder?

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)

Which statement accurately describes the nursing care for panic disorder?

Which class of medications is commonly used for the pharmacological treatment of panic disorder?

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

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)

A nurse is assessing a client with panic disorder. Which of the following symptoms should the nurse expect to find during a panic attack? Select all that apply.

A nurse is assessing a client with panic disorder who is prescribed benzodiazepines. Which statement by the client indicates a need for further education?