A nurse is providing education to a client with panic disorder about non-pharmacological treatment options. Which statement by the client indicates understanding of the teaching?

Choice A rationale:

Cognitive-behavioral therapy (CBT) is a well-established non-pharmacological treatment for panic disorder. It focuses on identifying and challenging negative thought patterns and beliefs that contribute to anxiety. By addressing these cognitive distortions, clients can learn to manage their panic symptoms more effectively.

Choice B rationale:

Exposure therapy is another evidence-based approach for treating anxiety disorders. However, it involves gradual exposure to feared situations or stimuli to reduce anxiety over time. While it can benefit clients with panic disorder, it does not specifically address challenging negative thoughts as CBT does.

Choice C rationale:

Lifestyle modifications, such as regular exercise, a balanced diet, and stress reduction techniques, can indeed help reduce physical symptoms associated with panic attacks. However, they do not directly address the cognitive and emotional aspects of panic disorder like CBT does.

Choice D rationale:

Complementary therapies may have a role in managing anxiety, but they are unlikely to replace the need for medications or evidence-based psychotherapies. These therapies, such as acupuncture or herbal remedies, are typically used as adjuncts to conventional treatments rather than substitutes.

Choice A rationale:

"Tell me about your coping strategies and support system." This choice may not be the most appropriate initial question because it focuses on coping strategies and support systems rather than gathering information about the frequency and triggers of panic attacks. While coping strategies and support systems are important, understanding the pattern of panic attacks is crucial for assessment and planning.

Choice B rationale:

"How often do you experience panic attacks and what triggers them?" This is the correct choice. It directly addresses the primary concerns related to panic disorder by inquiring about the frequency of panic attacks and their triggers. This information is essential for developing a comprehensive understanding of the client's condition and tailoring an effective treatment plan.

Choice C rationale:

"What medications are you currently taking for your panic disorder?" While inquiring about medication use is important, this question should come after understanding the frequency and triggers of panic attacks. Knowing about medications alone does not provide a holistic picture of the client's experience with panic disorder.

Choice D rationale:

"Have you ever had any laboratory tests done for your panic disorder?" This question is not directly relevant to the assessment of panic disorder. Panic disorder is primarily diagnosed based on clinical symptoms and criteria outlined in diagnostic manuals like the DSM-5. Laboratory tests are not routinely used for diagnosing panic disorder, so this question might not yield pertinent information for assessment.