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?

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.

Phobias

Choice A rationale:

Providing a safe and calm environment for the client during a panic attack is crucial to help minimize distress and prevent harm. Panic attacks can lead to heightened anxiety and fear, and creating a safe space can help the client feel secure. This intervention aids in reducing the overall intensity and duration of the panic attack.

Choice B rationale:

Using therapeutic communication skills to establish rapport and trust with the client is essential in managing panic disorder. By employing active listening, empathy, and non-judgmental responses, the nurse can create a supportive environment. Building a therapeutic relationship enhances the client's willingness to communicate, share their experiences, and adhere to the treatment plan.

Choice C rationale:

Educating the client about panic disorder and its treatment options is important, but it might be overwhelming during a panic attack. Providing education can be more effective when the client is relatively stable and receptive. The immediate focus during a panic attack should be on providing comfort and support.

Choice D rationale:

Encouraging the client to participate in cognitive-behavioral therapy (CBT) is a valuable intervention for panic disorder. However, suggesting this during a panic attack might not be appropriate, as the client's focus and ability to engage in a discussion could be compromised. It's better to introduce the idea of CBT when the client is in a more receptive state.

Choice E rationale:

Referring the client to self-help groups for peer support and education is also a beneficial intervention. However, during a panic attack, the client may not be open to the idea of group involvement. This recommendation is better suited for a calmer moment when the client can consider it more rationally.