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.”

Answer and Explanation

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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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.

A. "You should avoid situations that might trigger your panic attacks.". B. "Having panic attacks means there's something physically wrong with you.". C. "You should try to ignore your panic attacks and distract yourself.". D. "It's common for people with panic disorder to also experience depression.".

Correct Answer is B

Explanation

Choice A rationale:

Advising the client to avoid triggering situations oversimplifies the management of panic disorder. Exposure therapy is a common treatment, gradually confronting feared situations to reduce anxiety.

Choice B rationale:

This choice reflects an appropriate understanding of panic disorder. Panic attacks are primarily driven by psychological factors, and reassuring the client that there's nothing physically wrong helps reduce unnecessary health concerns.

Choice C rationale:

Encouraging the client to ignore panic attacks isn't therapeutic. Acknowledging and learning to manage the attacks, rather than suppressing them, is essential.

Choice D rationale:

While comorbidity exists, directly associating panic disorder with depression can be misleading. Not all individuals with panic disorder experience depression.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is C

Explanation

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

Correct Answer is B

Explanation

A nurse is caring for a client diagnosed with panic disorder. Which of the following complications should the nurse monitor for in this client?

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?

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?

Which of the following is a possible risk factor 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?

Which psychotherapy technique can help clients with panic disorder gradually confront their feared situations or places?

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

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?