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.".
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Substance abuse can be a significant complication of panic disorder. Individuals might turn to drugs or alcohol in attempts to self-medicate or alleviate symptoms.
Choice B rationale:
Hypertension isn't a primary complication of panic disorder. Panic attacks can lead to transient increases in blood pressure, but chronic hypertension isn't a well-documented outcome.
Choice C rationale:
Diabetes and panic disorder aren't directly linked. However, chronic stress and anxiety could potentially influence blood sugar levels in those predisposed to diabetes.
Choice D rationale:
Osteoporosis isn't a known complication of panic disorder. There's no physiological connection between panic attacks and bone health.
Correct Answer is B
Explanation
Choice A rationale:
Assessing and diagnosing the client's physical health problems is important, but it does not accurately describe the nursing care for panic disorder. Panic disorder primarily involves psychological and emotional symptoms, so addressing the client's mental health needs takes precedence.
Choice B rationale:
Intervening and evaluating the client's social support and self-esteem accurately describe nursing care for panic disorder. Social support and self-esteem play significant roles in a client's ability to cope with and manage panic disorder. Nurses can provide interventions to enhance these factors, which can contribute to better outcomes.
Choice C rationale:
Monitoring for signs of serotonin syndrome is important when a client is taking certain medications, particularly serotonergic antidepressants. However, it is not a specific concern in panic disorder nursing care unless the client is on medication that could potentially lead to serotonin syndrome.
Choice D rationale:
Educating the client on the potential side effects of benzodiazepines is relevant, but it is not the most accurate description of nursing care for panic disorder. Nursing care goes beyond medication education and involves a comprehensive approach to addressing the client's emotional, psychological, and social needs.
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