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:

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.

A. "I'm not worried about having another panic attack.". B. "I'm afraid of being in situations where escape might be difficult.". C. "I don't think my panic attacks are related to my thought patterns.". D. "I believe my panic attacks are caused by a substance I'm using.".

Correct Answer is B

Explanation

Choice A rationale:

The statement "I'm not worried about having another panic attack" indicates a lack of understanding of anticipatory anxiety. Anticipatory anxiety is characterized by the fear of experiencing future panic attacks, so this statement contradicts that concept.

Choice B rationale:

This choice is correct because it reflects an accurate understanding of anticipatory anxiety. Anticipatory anxiety is the fear of being in situations or places where escape might be challenging or embarrassing in the event of a panic attack. This fear often leads to avoidance behavior and can worsen the overall anxiety.

Choice C rationale:

The statement "I don't think my panic attacks are related to my thought patterns" suggests a misunderstanding of the connection between thoughts and panic attacks. In reality, panic attacks are often triggered by anxious thoughts and thought patterns.

Choice D rationale:

The statement "I believe my panic attacks are caused by a substance I'm using" indicates a different perspective on the origin of panic attacks. While substance use can contribute to anxiety or trigger panic attacks in some cases, anticipatory anxiety specifically refers to the fear of future panic attacks, not their immediate causes.

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

Correct Answer is A

Explanation

A client with panic disorder is experiencing anticipatory anxiety. Which of the following statements by the client indicates an understanding of anticipatory anxiety?

Correct Answer is B

Explanation

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 formulating nursing diagnoses for a client with panic disorder. Which nursing diagnosis would be appropriate for this client?

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

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?

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

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)