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:
The statement "I don't think I'll ever be able to control my panic attacks" indicates a negative and hopeless outlook. This perspective can contribute to increased anxiety and difficulty in managing panic attacks. Education is needed to address and challenge such negative beliefs.
Choice B rationale:
The statement "I'm worried about the consequences of having another panic attack" reflects a valid concern. People with panic disorder often worry about the impact of panic attacks on their daily lives and functioning.
Choice C rationale:
The statement "I feel confident that I can prevent future panic attacks" demonstrates an understanding of coping strategies and confidence in managing panic attacks. This is a positive sign that the client is actively engaged in their treatment and recovery.
Choice D rationale:
The statement "I've learned some relaxation techniques to help manage my anxiety" indicates that the client has acquired useful tools to manage anxiety. This suggests that the client is actively seeking ways to cope with panic attacks, which is a positive indicator.
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.
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