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:
Cognitive-behavioral therapy (CBT) is a psychotherapy technique commonly used to help clients with panic disorder. It focuses on identifying and challenging negative thought patterns and behaviors that contribute to panic attacks. By changing these thought-behavior patterns, individuals can better manage their panic symptoms.
Choice B rationale:
Exposure therapy is another psychotherapy technique used for panic disorder. It involves gradually exposing clients to their feared situations or places in a controlled and supportive environment. Through repeated exposure, individuals can learn to tolerate and manage their anxiety, leading to a reduction in panic attacks.
Choice C rationale:
Relaxation techniques are not the primary psychotherapy technique for panic disorder. While relaxation techniques can help manage general anxiety, panic disorder often requires more targeted interventions like CBT and exposure therapy.
Choice D rationale:
Lifestyle modifications can be beneficial for managing anxiety in general, but they are not a psychotherapy technique specifically designed to help clients confront their feared situations. Psychotherapy techniques like CBT and exposure therapy are more effective in this context.
Correct Answer is C
Explanation
Choice A rationale:
Beta-blockers are not commonly used for the pharmacological treatment of panic disorder. While they are used for conditions like hypertension and certain heart conditions, they are not the primary choice for panic disorder. Panic disorder primarily involves disturbances in brain neurotransmitters, which beta-blockers do not directly target.
Choice B rationale:
Anticonvulsants are not the primary choice for treating panic disorder. While they may be used for other conditions such as epilepsy or bipolar disorder, their effectiveness in treating panic disorder is limited compared to other classes of medications like SSRIs.
Choice C rationale:
Selective serotonin reuptake inhibitors (SSRIs) are commonly used for the pharmacological treatment of panic disorder. Panic disorder often involves imbalances in serotonin, a neurotransmitter that plays a crucial role in mood regulation. SSRIs help increase serotonin levels in the brain by blocking its reuptake, thereby alleviating symptoms of panic and anxiety.
Choice D rationale:
Tricyclic antidepressants (TCAs) are sometimes used for panic disorder, but they are not the first-line treatment due to their potential side effects and safety concerns. SSRIs have largely replaced TCAs as the preferred choice due to their better tolerability and safety profile.
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