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?
"I should avoid medications that increase serotonin levels in the brain.”
"Antihypertensives can help reduce physical symptoms of panic attacks.”
"Antiepileptics can enhance the effects of gamma-aminobutyric acid (GABA) in the brain.”
"Tricyclic antidepressants inhibit the reuptake of norepinephrine in the brain.”
The Correct Answer is C
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Teaching relaxation techniques is a priority intervention for clients with panic disorder. Relaxation techniques, such as deep breathing, progressive muscle relaxation, and mindfulness, can help manage anxiety symptoms and reduce the frequency and intensity of panic attacks. These techniques empower clients to regain a sense of control over their anxiety.
Choice B rationale:
Administering antianxiety medication can be a helpful intervention, but it should not be prioritized over non-pharmacological approaches like teaching relaxation techniques. Medications may have side effects and are typically considered after other strategies have been explored.
Choice C rationale:
Encouraging socialization is important for overall mental health, but it may not directly address the immediate needs of a client experiencing panic disorder. Managing panic attacks and providing coping mechanisms should take precedence during the assessment.
Choice D rationale:
Monitoring vital signs regularly is important, but it is not the highest priority for a client with panic disorder. Addressing anxiety symptoms and providing appropriate interventions to manage panic attacks should come first.
Correct Answer is ["A","B","C","D","E"]
Explanation
Choice A rationale:
Encourage regular exercise and a healthy diet. Regular exercise and a healthy diet contribute to overall well-being and can have a positive impact on managing anxiety and panic disorder. Exercise releases endorphins, which are natural mood lifters, and a balanced diet supports physical and mental health.
Choice B rationale:
Teach deep breathing and progressive muscle relaxation techniques. Deep breathing and progressive muscle relaxation are evidence-based relaxation techniques that can help manage anxiety and panic symptoms. They promote relaxation and help clients cope with the physical sensations of panic.
Choice C rationale:
Assist with gradually confronting feared situations or places. This approach, known as exposure therapy, is a common component of cognitive-behavioral therapy for panic disorder. Gradual exposure to feared situations or places can help desensitize the client to triggers and reduce the intensity of panic reactions.
Choice D rationale:
Monitor for signs of serotonin syndrome. Serotonin syndrome is a potentially serious condition that can result from interactions between certain medications that affect serotonin levels. Monitoring for signs such as agitation, confusion, rapid heart rate, and high blood pressure is crucial when using medications that impact serotonin.
Choice E rationale:
Educate on the potential side effects of benzodiazepines. Benzodiazepines are sometimes prescribed for short-term relief of acute anxiety or panic symptoms, but they can be habit-forming and have potential side effects like sedation, dizziness, and cognitive impairment. Educating the client about these potential effects is important for informed decision-making.
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