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

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.

Choice A rationale:

Teaching relaxation techniques is a priority intervention for clients with panic disorder. Relaxation techniques, such as deep breathing, progressive muscle relaxation, and mindfulness, can help manage anxiety symptoms and reduce the frequency and intensity of panic attacks. These techniques empower clients to regain a sense of control over their anxiety.

Choice B rationale:

Administering antianxiety medication can be a helpful intervention, but it should not be prioritized over non-pharmacological approaches like teaching relaxation techniques. Medications may have side effects and are typically considered after other strategies have been explored.

Choice C rationale:

Encouraging socialization is important for overall mental health, but it may not directly address the immediate needs of a client experiencing panic disorder. Managing panic attacks and providing coping mechanisms should take precedence during the assessment.

Choice D rationale:

Monitoring vital signs regularly is important, but it is not the highest priority for a client with panic disorder. Addressing anxiety symptoms and providing appropriate interventions to manage panic attacks should come first.