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","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.
Correct Answer is A
Explanation
Choice A rationale:
Family history of panic disorder is a recognized risk factor, suggesting a genetic predisposition. Anxiety disorders often have a hereditary component.
Choice B rationale:
High blood pressure might not directly lead to panic disorder. However, it could contribute to the overall stress burden on the individual.
Choice C rationale:
Recent weight loss isn't typically associated with an increased risk of panic disorder. Other factors are more relevant to its development.
Choice D rationale:
Allergies aren't linked to an increased risk of panic disorder. This choice lacks a plausible biological or psychological connection.
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