A nurse is formulating nursing diagnoses for a client with panic disorder. Which nursing diagnosis would be appropriate for this client?

Anxiety related to perceived threats or loss of control.

Impaired social interaction related to avoidance behavior or low self-esteem.

Risk for self-directed violence related to hopelessness or depression.

Knowledge deficit related to panic disorder and its treatment.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

The nursing diagnosis "Anxiety related to perceived threats or loss of control" is appropriate for a client with panic disorder. Panic disorder is characterized by recurrent and unexpected panic attacks, leading to heightened anxiety and apprehension. The client often perceives a loss of control during these attacks, making this diagnosis suitable.

Choice B rationale:

"Impaired social interaction related to avoidance behavior or low self-esteem" is not the most appropriate diagnosis for panic disorder. While social interaction might be affected, the core feature of panic disorder is the occurrence of panic attacks. The chosen diagnosis does not directly address this aspect.

Choice C rationale:

"Risk for self-directed violence related to hopelessness or depression" is not the most fitting diagnosis for panic disorder. Panic attacks typically involve intense anxiety and fear rather than depression or hopelessness, which are more associated with mood disorders.

Choice D rationale:

"Knowledge deficit related to panic disorder and its treatment" is not the best diagnosis for a client with panic disorder. While education about the disorder is important, panic disorder is primarily characterized by the presence of panic attacks and related symptoms, which should take precedence in the nursing diagnosis.

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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.

A. "I'm not worried about having another panic attack.". B. "I'm afraid of being in situations where escape might be difficult.". C. "I don't think my panic attacks are related to my thought patterns.". D. "I believe my panic attacks are caused by a substance I'm using.".

Correct Answer is B

Explanation

Choice A rationale:

The statement "I'm not worried about having another panic attack" indicates a lack of understanding of anticipatory anxiety. Anticipatory anxiety is characterized by the fear of experiencing future panic attacks, so this statement contradicts that concept.

Choice B rationale:

This choice is correct because it reflects an accurate understanding of anticipatory anxiety. Anticipatory anxiety is the fear of being in situations or places where escape might be challenging or embarrassing in the event of a panic attack. This fear often leads to avoidance behavior and can worsen the overall anxiety.

Choice C rationale:

The statement "I don't think my panic attacks are related to my thought patterns" suggests a misunderstanding of the connection between thoughts and panic attacks. In reality, panic attacks are often triggered by anxious thoughts and thought patterns.

Choice D rationale:

The statement "I believe my panic attacks are caused by a substance I'm using" indicates a different perspective on the origin of panic attacks. While substance use can contribute to anxiety or trigger panic attacks in some cases, anticipatory anxiety specifically refers to the fear of future panic attacks, not their immediate causes.

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A nurse is formulating nursing diagnoses for a client with panic disorder. Which nursing diagnosis would be appropriate for this client?

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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 client with panic disorder is experiencing anticipatory anxiety. Which of the following statements by the client indicates an understanding of anticipatory anxiety?

Correct Answer is B

Explanation

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

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

A nurse is assessing a client with panic disorder. Which statement by the nurse would be appropriate during the assessment?

Which statement accurately describes the nursing care for panic disorder?

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.

Which psychotherapy technique can help clients with panic disorder gradually confront their feared situations or places?

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

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)