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)

Provide a safe and calm environment for the client during a panic attack.

Use therapeutic communication skills to establish rapport and trust with the client.

Educate the client about panic disorder and its treatment options.

Encourage the client to participate in cognitive-behavioral therapy (CBT)

Refer the client to self-help groups for peer support and education.

Answer and Explanation

Correct Answer : A,B

Choice A rationale:

Providing a safe and calm environment for the client during a panic attack is crucial to help minimize distress and prevent harm. Panic attacks can lead to heightened anxiety and fear, and creating a safe space can help the client feel secure. This intervention aids in reducing the overall intensity and duration of the panic attack.

Choice B rationale:

Using therapeutic communication skills to establish rapport and trust with the client is essential in managing panic disorder. By employing active listening, empathy, and non-judgmental responses, the nurse can create a supportive environment. Building a therapeutic relationship enhances the client's willingness to communicate, share their experiences, and adhere to the treatment plan.

Choice C rationale:

Educating the client about panic disorder and its treatment options is important, but it might be overwhelming during a panic attack. Providing education can be more effective when the client is relatively stable and receptive. The immediate focus during a panic attack should be on providing comfort and support.

Choice D rationale:

Encouraging the client to participate in cognitive-behavioral therapy (CBT) is a valuable intervention for panic disorder. However, suggesting this during a panic attack might not be appropriate, as the client's focus and ability to engage in a discussion could be compromised. It's better to introduce the idea of CBT when the client is in a more receptive state.

Choice E rationale:

Referring the client to self-help groups for peer support and education is also a beneficial intervention. However, during a panic attack, the client may not be open to the idea of group involvement. This recommendation is better suited for a calmer moment when the client can consider it more rationally.

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Correct Answer is A

Explanation

Choice A rationale:

Substance abuse can be a significant complication of panic disorder. Individuals might turn to drugs or alcohol in attempts to self-medicate or alleviate symptoms.

Choice B rationale:

Hypertension isn't a primary complication of panic disorder. Panic attacks can lead to transient increases in blood pressure, but chronic hypertension isn't a well-documented outcome.

Choice C rationale:

Diabetes and panic disorder aren't directly linked. However, chronic stress and anxiety could potentially influence blood sugar levels in those predisposed to diabetes.

Choice D rationale:

Osteoporosis isn't a known complication of panic disorder. There's no physiological connection between panic attacks and bone health.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is A

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

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

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

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?

Which statement accurately describes the nursing care 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?

A nurse is assessing a client with panic disorder. Which of the following symptoms should the nurse expect to find during a panic attack? Select all that apply.