A 29-year-old man presents with classic signs and symptoms of panic disorder. In addition to medication, the PMHNP will recommend which of the following forms of therapy?
Existential therapy
Humanistic therapy
Dialectical behavioral therapy
Cognitive behavioral therapy
The Correct Answer is D
Choice A reason: Existential therapy focuses on philosophical issues and personal meaning, which is not specifically targeted to reducing panic disorder symptoms.
Choice B reason: Humanistic therapy emphasizes self-actualization and personal growth, but it is not the first-line therapy for panic disorder.
Choice C reason: Dialectical behavioral therapy is primarily used for borderline personality disorder and emotion regulation difficulties, not first-line treatment for panic disorder.
Choice D reason: This is correct. Cognitive behavioral therapy (CBT) is the gold standard psychotherapy for panic disorder. It helps patients identify and restructure maladaptive thoughts, reduce avoidance behaviors, and gradually desensitize to panic triggers.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Meeting with a dietitian is appropriate and supports disease management, helping reduce flare-ups through nutritional guidance.
Choice B reason: Crohn’s disease is a chronic, relapsing inflammatory bowel disease with no known cure. Medications manage symptoms and reduce inflammation but cannot cure the disease. This statement indicates misunderstanding and the need for further education.
Choice C reason: Regular ongoing care is necessary for monitoring disease activity, managing medications, and preventing complications, which is correct.
Choice D reason: Surgery may be required for complications such as strictures or fistulas. Acknowledging potential surgical intervention demonstrates correct understanding.
Correct Answer is C
Explanation
Choice A reason: Adequate bowel cleansing is essential for visualization; skipping prep would compromise diagnostic accuracy.
Choice B reason: Clear liquid diet is recommended, but it should begin the entire day before the procedure, not only after midnight.
Choice C reason: This is correct. The left lateral decubitus position with knees flexed is standard for colonoscopy to facilitate scope insertion and patient comfort.
Choice D reason: While NPO status is required for sedation, the primary requirement is bowel prep; 6 hours alone is insufficient for procedure safety and visualization.
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