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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Cognitive-behavioral therapy (CBT) is a psychotherapy technique commonly used to help clients with panic disorder. It focuses on identifying and challenging negative thought patterns and behaviors that contribute to panic attacks. By changing these thought-behavior patterns, individuals can better manage their panic symptoms.
Choice B rationale:
Exposure therapy is another psychotherapy technique used for panic disorder. It involves gradually exposing clients to their feared situations or places in a controlled and supportive environment. Through repeated exposure, individuals can learn to tolerate and manage their anxiety, leading to a reduction in panic attacks.
Choice C rationale:
Relaxation techniques are not the primary psychotherapy technique for panic disorder. While relaxation techniques can help manage general anxiety, panic disorder often requires more targeted interventions like CBT and exposure therapy.
Choice D rationale:
Lifestyle modifications can be beneficial for managing anxiety in general, but they are not a psychotherapy technique specifically designed to help clients confront their feared situations. Psychotherapy techniques like CBT and exposure therapy are more effective in this context.
Correct Answer is ["A","B","D","E"]
Explanation
Choice A rationale:
Palpitations, or a racing heart, are a common symptom of panic attacks. The body's "fight or flight" response during a panic attack can lead to rapid heart rate and sensations of palpitations.
Choice B rationale:
Numbness and tingling sensations, often referred to as paresthesias, can occur during a panic attack. These sensations are a result of the body's physiological response to stress, leading to altered sensory perceptions.
Choice D rationale:
Fear of losing control is a characteristic symptom of panic attacks. Individuals with panic disorder often describe feeling as though they are losing control over their thoughts, emotions, or even their physical actions during an attack.
Choice E rationale:
Muscle weakness can be experienced during a panic attack due to the release of stress hormones and the physiological changes that accompany the fight-or-flight response. This weakness can affect various muscle groups.
Choice C rationale:
Increased appetite is not typically associated with panic attacks. Panic attacks are more commonly associated with gastrointestinal symptoms such as nausea or stomach discomfort rather than an increased appetite.
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