A nurse is providing education to a client diagnosed with panic disorder. Which of the following statements by the client indicates an understanding of the disorder?

"I think my panic attacks are caused by a specific substance I'm using.".

"I avoid situations that might trigger my panic attacks.".

"I don't worry about having more panic attacks.".

"I believe my panic attacks are a result of a physical health problem.".

Answer and Explanation

The Correct Answer is B

Choice A rationale:

The statement "I think my panic attacks are caused by a specific substance I'm using" suggests a possible link between substance use and panic attacks, which is not a typical characteristic of panic disorder. Panic disorder is primarily characterized by recurrent and unexpected panic attacks, not necessarily triggered by specific substances.

Choice B rationale:

The statement "I avoid situations that might trigger my panic attacks" reflects an understanding of the disorder. People with panic disorder often develop avoidance behaviors to prevent or minimize the occurrence of panic attacks. Avoidance of triggers is a common coping mechanism used to manage the fear associated with panic attacks.

Choice C rationale:

The statement "I don't worry about having more panic attacks" contradicts the typical experience of individuals with panic disorder. People with panic disorder often have heightened worry and fear about experiencing more panic attacks, which contributes to the cycle of anxiety.

Choice D rationale:

The statement "I believe my panic attacks are a result of a physical health problem" suggests a misunderstanding of panic disorder. While panic attacks can manifest with physical symptoms, they are primarily caused by psychological factors, such as anxiety and fear, rather than solely by physical health problems.

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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. "Tell me about your coping strategies and support system.". B. "How often do you experience panic attacks and what triggers them?". C. "What medications are you currently taking for your panic disorder?". D. "Have you ever had any laboratory tests done for your panic disorder?".

Correct Answer is A

Explanation

Choice A rationale:

Asking the client about coping strategies and support systems is an appropriate assessment question for a client with panic disorder. This question allows the nurse to understand how the client manages their panic attacks and identifies the resources available to them. The response can provide insights into the client's adaptive or maladaptive coping mechanisms.

Choice B rationale:

Inquiring about the frequency of panic attacks and their triggers is important, but this question may not be appropriate as the initial assessment question. It's better to first establish a rapport and gather broader information about the client's experiences before delving into specific details.

Choice C rationale:

Asking about current medications is relevant, but it might be more suitable after building rapport and discussing the client's overall situation. Focusing solely on medication can overlook other important aspects of the client's condition and coping strategies.

Choice D rationale:

Inquiring about laboratory tests is not directly relevant to the assessment of panic disorder. Panic disorder is primarily diagnosed based on clinical criteria, and laboratory tests are not typically used for diagnosis.

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A nurse is providing education to a client diagnosed with panic disorder. Which of the following statements by the client indicates an understanding of the disorder?

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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

A nurse is assessing a client with panic disorder. Which statement by the nurse would be appropriate during the assessment?

Correct Answer is A

Explanation

A client with panic disorder is experiencing anticipatory anxiety. Which of the following statements by the client indicates an understanding of anticipatory anxiety?

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A nurse is conducting a nursing assessment for a client with panic disorder. Which data should the nurse collect during the assessment?

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A client with panic disorder expresses concern about having another panic attack. Which of the following statements by the client indicates a need for further education?

Which of the following is a possible risk factor for panic disorder?

A nurse is caring for a client with panic disorder who is prescribed pharmacological treatment. Which interventions should the nurse include in the plan of care? Select all that apply.