A nurse is providing care to a client with panic disorder. Which of the following statements by the nurse is appropriate?
"You should avoid situations that might trigger your panic attacks.".
"Having panic attacks means there's something physically wrong with you.".
"You should try to ignore your panic attacks and distract yourself.".
"It's common for people with panic disorder to also experience depression.".
The Correct Answer is D
The correct answer is Choice D.
Choice A rationale: Avoidance reinforces fear conditioning and impairs extinction learning; exposure-based strategies are more effective in reducing panic symptoms and restoring functional coping through cognitive-behavioral therapy.
Choice B rationale: Panic attacks are driven by autonomic dysregulation and cognitive misinterpretation, not physical pathology; suggesting physical illness increases somatic focus and health anxiety, worsening panic disorder outcomes.
Choice C rationale: Ignoring panic attacks delays cognitive restructuring and emotional processing; distraction may help short-term but does not address underlying maladaptive beliefs or autonomic hyperarousal.
Choice D rationale: Comorbidity between panic disorder and depression is well-documented; shared neurobiological pathways and chronic distress increase risk for mood disorders, requiring integrated assessment and treatment planning.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
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.
Correct Answer is ["A","B","C","D","E"]
Explanation
Choice A rationale:
Providing a safe and calm environment during a panic attack (choice A) is crucial to help the client feel secure and reduce the intensity of the attack.
Choice B rationale:
Using therapeutic communication skills (choice B) is essential to establish rapport and trust with the client, creating a foundation for effective therapeutic interventions.
Choice C rationale:
Educating the client about panic disorder and its treatment options (choice C) empowers them to actively participate in their treatment and make informed decisions.
Choice D rationale:
Encouraging the client to participate in cognitive-behavioral therapy (CBT) (choice D) is a evidence-based approach for managing panic disorder. CBT helps the client develop coping strategies and change maladaptive thought patterns.
Choice E rationale:
Referring the client to self-help groups for peer support and education (choice E) offers additional resources and insights from individuals who have experienced similar challenges, fostering a sense of community and reducing isolation.
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