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 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.

A. Beta-blockers. B. Anticonvulsants. C. Selective serotonin reuptake inhibitors (SSRIs) D. Tricyclic antidepressants (TCAs)

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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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 client with panic disorder expresses concern about having another panic attack. Which of the following statements by the client indicates a need for further education?

Correct Answer is A

Explanation

Which class of medications is commonly used for the pharmacological treatment of panic disorder?

Correct Answer is C

Explanation

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Which statement accurately describes the nursing care for panic disorder?

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

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A nurse is assessing a client with panic disorder. Which statement by the nurse would be appropriate during the assessment?