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.".

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Advising the client to avoid triggering situations oversimplifies the management of panic disorder. Exposure therapy is a common treatment, gradually confronting feared situations to reduce anxiety.

Choice B rationale:

This choice reflects an appropriate understanding of panic disorder. Panic attacks are primarily driven by psychological factors, and reassuring the client that there's nothing physically wrong helps reduce unnecessary health concerns.

Choice C rationale:

Encouraging the client to ignore panic attacks isn't therapeutic. Acknowledging and learning to manage the attacks, rather than suppressing them, is essential.

Choice D rationale:

While comorbidity exists, directly associating panic disorder with depression can be misleading. Not all individuals with panic disorder experience depression.

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Correct Answer is A

Explanation

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.

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 providing care to a client with panic disorder. Which of the following statements by the nurse is appropriate?

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Naxlex Comprehensive Predictor Exams

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

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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