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?
"Cognitive-behavioral therapy can help me challenge negative thoughts.".
"Exposure therapy can provide additional benefits for my anxiety and mood.".
"Lifestyle modifications can reduce physical symptoms of panic attacks.".
"Complementary therapies can replace the need for medications.".
The Correct Answer is A
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Asking the client about coping strategies and support systems is an appropriate assessment question for a client with panic disorder. This question allows the nurse to understand how the client manages their panic attacks and identifies the resources available to them. The response can provide insights into the client's adaptive or maladaptive coping mechanisms.
Choice B rationale:
Inquiring about the frequency of panic attacks and their triggers is important, but this question may not be appropriate as the initial assessment question. It's better to first establish a rapport and gather broader information about the client's experiences before delving into specific details.
Choice C rationale:
Asking about current medications is relevant, but it might be more suitable after building rapport and discussing the client's overall situation. Focusing solely on medication can overlook other important aspects of the client's condition and coping strategies.
Choice D rationale:
Inquiring about laboratory tests is not directly relevant to the assessment of panic disorder. Panic disorder is primarily diagnosed based on clinical criteria, and laboratory tests are not typically used for diagnosis.
Correct Answer is D
Explanation
Choice A rationale:
Taking benzodiazepines as needed for panic attacks is an incorrect statement. Benzodiazepines are generally not intended for "as-needed" use due to the risk of dependence and withdrawal. They are typically prescribed on a scheduled basis to provide consistent anxiety relief.
Choice B rationale:
Avoiding alcohol while taking benzodiazepines is important due to potential interactions between alcohol and the medication. Both substances can have central nervous system depressant effects, which can lead to increased drowsiness, impaired coordination, and cognitive deficits.
Choice C rationale:
Experiencing drowsiness and dizziness are common side effects of benzodiazepines. Educating the client about these potential side effects is necessary to promote safety and to avoid engaging in activities that require alertness while taking the medication.
Choice D rationale:
This statement indicates a need for further education. Abruptly stopping benzodiazepines can lead to withdrawal symptoms, which may include increased anxiety, irritability, insomnia, and even seizures. Benzodiazepines should be tapered off gradually under medical supervision.
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