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.".

Answer and Explanation

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.

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Correct Answer is D

Explanation

The correct answer is Choice D.

Choice A rationale: Avoidance reinforces fear conditioning and impairs extinction learning; exposure-based strategies are more effective in reducing panic symptoms and restoring functional coping through cognitive-behavioral therapy.

Choice B rationale: Panic attacks are driven by autonomic dysregulation and cognitive misinterpretation, not physical pathology; suggesting physical illness increases somatic focus and health anxiety, worsening panic disorder outcomes.

Choice C rationale: Ignoring panic attacks delays cognitive restructuring and emotional processing; distraction may help short-term but does not address underlying maladaptive beliefs or autonomic hyperarousal.

Choice D rationale: Comorbidity between panic disorder and depression is well-documented; shared neurobiological pathways and chronic distress increase risk for mood disorders, requiring integrated assessment and treatment planning.

A. "I should avoid medications that increase serotonin levels in the brain.” B. "Antihypertensives can help reduce physical symptoms of panic attacks.” C. "Antiepileptics can enhance the effects of gamma-aminobutyric acid (GABA) in the brain.” D. "Tricyclic antidepressants inhibit the reuptake of norepinephrine in the brain.”

Correct Answer is C

Explanation

Choice A rationale:

"I should avoid medications that increase serotonin levels in the brain." While avoiding medications that increase serotonin levels is relevant in some cases, it's not a comprehensive understanding of pharmacological treatment for panic disorder. Serotonin-related medications like selective serotonin reuptake inhibitors (SSRIs) are commonly used for panic disorder treatment.

Choice B rationale:

"Antihypertensives can help reduce physical symptoms of panic attacks." This statement is not accurate. Antihypertensives are not commonly used to treat panic disorder. Medications like beta-blockers may be prescribed to manage some physical symptoms of anxiety, but they are not a primary treatment for panic disorder.

Choice C rationale:

"Antiepileptics can enhance the effects of gamma-aminobutyric acid (GABA) in the brain." This is the correct choice. Antiepileptic medications like pregabalin and gabapentin can indeed enhance the effects of GABA, an inhibitory neurotransmitter that helps reduce anxiety and panic. These medications are sometimes used to manage panic disorder symptoms.

Choice D rationale:

"Tricyclic antidepressants inhibit the reuptake of norepinephrine in the brain." While tricyclic antidepressants have been used historically to treat panic disorder, they are not considered first-line treatments due to their potential side effects and the availability of newer, safer options. The statement in Choice D is accurate but not as relevant to current treatment approaches.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing care to a client with panic disorder. Which of the following statements by the nurse is appropriate?

Correct Answer is D

Explanation

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

Correct Answer is C

Explanation

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

A nurse is evaluating the outcomes for a client with panic disorder. Which outcome would indicate effective management of panic disorder?

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A nurse is caring for a client with panic disorder. Which statement accurately describes panic disorder?

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

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

A nurse is providing interventions for a client with panic disorder. Which interventions should the nurse include in the plan of care? (Select all that apply)