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 C

Explanation

Choice A rationale:

Monitoring vital signs, weight, height, and BMI (choice A) is relevant for a general health assessment, but it is not specific to evaluating a client with panic disorder.

Choice B rationale:

Assessing the client's support system, self-esteem, and coping strategies (choice B) is important for understanding the client's psychosocial well-being, but it doesn't directly provide information about their panic disorder and its management.

Choice C rationale:

Collecting the client's medical history, medication use, and family history (choice C) is crucial for assessing the context of the panic disorder. Medical history helps identify any contributing factors, medication use informs about the current treatment, and family history might reveal a genetic predisposition or relevant psychosocial factors.

Choice D rationale:

Requesting laboratory tests and diagnostic tools (choice D) can be useful in ruling out medical conditions that may mimic panic disorder symptoms, but they are not the primary focus of a panic disorder assessment.

A. "You should avoid situations that might trigger your panic attacks.". B. "Having panic attacks means there's something physically wrong with you.". C. "You should try to ignore your panic attacks and distract yourself.". D. "It's common for people with panic disorder to also experience depression.".

Correct Answer is B

Explanation

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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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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