A client who suffers from frequent panic attacks describes the attack as feeling disconnected from himself. The nurse notes in the client's chart that the client reports experiencing:
hallucinations
denial
derealization
depersonalization
The Correct Answer is D
Choice A reason: Hallucinations involve perceiving things that are not present, such as hearing voices or seeing images. Panic attacks do not typically produce hallucinations, and the client’s description of feeling disconnected from himself does not align with sensory misperceptions.
Choice B reason: Denial is a defense mechanism where a person refuses to acknowledge reality or the severity of a situation. The client is not denying the panic attack but rather describing a subjective experience of disconnection, making denial an inaccurate interpretation.
Choice C reason: Derealization refers to feeling that the external environment is unreal or distorted. While related, the client specifically describes feeling disconnected from himself, which is more consistent with depersonalization rather than derealization.
Choice D reason: Depersonalization is the correct term for feeling detached or disconnected from oneself, as though observing oneself from outside the body. This matches the client’s description and is a common symptom during severe panic attacks.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: PTSD does not have a recovery rate of 80% within three months. This statement is inaccurate and misleading.
Choice B reason: Severity and duration of trauma influence both acute stress disorder and PTSD. This is not a distinguishing factor between the two conditions.
Choice C reason: Acute stress disorder does not necessarily lead to exacerbation of symptoms. Many clients recover without progression to PTSD. This statement is incorrect.
Choice D reason: PTSD is diagnosed when symptoms persist for more than one month and often continue for three months or longer after trauma. Acute stress disorder occurs within the first month post-trauma. This distinction makes D the correct answer.
Correct Answer is D
Explanation
Choice A reason: Combination therapy refers to using multiple treatment modalities, such as medication and psychotherapy. While helpful, it does not describe the specific behavioral technique of gradual exposure paired with relaxation.
Choice B reason: Flooding involves exposing the client to the feared stimulus all at once without gradual buildup. This can be overwhelming and is not the technique described in the question.
Choice C reason: Cognitive restructuring focuses on changing maladaptive thought patterns. While useful in anxiety treatment, it does not involve gradual exposure to elevators.
Choice D reason: Systematic desensitization is the correct technique. It combines relaxation training with gradual exposure to the feared stimulus, helping the client reduce anxiety step by step.
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