Which of the following is a possible risk factor for panic disorder?

Choice A rationale:

This statement accurately describes panic disorder. It is an anxiety disorder characterized by recurrent and unexpected panic attacks—sudden episodes of intense fear or discomfort accompanied by physical and cognitive symptoms. These attacks can lead to significant distress and avoidance behaviors.

Choice B rationale:

Panic disorder is not a type of depression; it is a separate anxiety disorder. While there can be co-occurrence of depression and anxiety disorders, they have distinct diagnostic criteria and features.

Choice C rationale:

Panic disorder is not related to substance abuse, nor is it influenced by biological factors that contribute to substance use disorders. It is primarily a psychological condition related to anxiety.

Choice D rationale:

The PDSS (Panic Disorder Severity Scale) is a tool used to assess the severity of panic disorder symptoms, not to diagnose the disorder itself. A diagnosis of panic disorder is based on clinical criteria outlined in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5)

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.