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

"Tell me about your coping strategies and support system.".

"How often do you experience panic attacks and what triggers them?".

"What medications are you currently taking for your panic disorder?".

"Have you ever had any laboratory tests done for your panic disorder?".

Answer and Explanation

The Correct Answer is A

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.

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Correct Answer is A

Explanation

Choice A rationale:

The nursing diagnosis "Anxiety related to perceived threats or loss of control" is appropriate for a client with panic disorder. Panic disorder is characterized by recurrent and unexpected panic attacks, leading to heightened anxiety and apprehension. The client often perceives a loss of control during these attacks, making this diagnosis suitable.

Choice B rationale:

"Impaired social interaction related to avoidance behavior or low self-esteem" is not the most appropriate diagnosis for panic disorder. While social interaction might be affected, the core feature of panic disorder is the occurrence of panic attacks. The chosen diagnosis does not directly address this aspect.

Choice C rationale:

"Risk for self-directed violence related to hopelessness or depression" is not the most fitting diagnosis for panic disorder. Panic attacks typically involve intense anxiety and fear rather than depression or hopelessness, which are more associated with mood disorders.

Choice D rationale:

"Knowledge deficit related to panic disorder and its treatment" is not the best diagnosis for a client with panic disorder. While education about the disorder is important, panic disorder is primarily characterized by the presence of panic attacks and related symptoms, which should take precedence in the nursing diagnosis.

A. "I should take this medication as needed for panic attacks.". B. "I should avoid alcohol while taking this medication.". C. "I may experience drowsiness and dizziness as side effects.". D. "I can stop taking this medication abruptly if I no longer have panic attacks.".

Correct Answer is D

Explanation

Choice A rationale:

Taking benzodiazepines as needed for panic attacks is an incorrect statement. Benzodiazepines are generally not intended for "as-needed" use due to the risk of dependence and withdrawal. They are typically prescribed on a scheduled basis to provide consistent anxiety relief.

Choice B rationale:

Avoiding alcohol while taking benzodiazepines is important due to potential interactions between alcohol and the medication. Both substances can have central nervous system depressant effects, which can lead to increased drowsiness, impaired coordination, and cognitive deficits.

Choice C rationale:

Experiencing drowsiness and dizziness are common side effects of benzodiazepines. Educating the client about these potential side effects is necessary to promote safety and to avoid engaging in activities that require alertness while taking the medication.

Choice D rationale:

This statement indicates a need for further education. Abruptly stopping benzodiazepines can lead to withdrawal symptoms, which may include increased anxiety, irritability, insomnia, and even seizures. Benzodiazepines should be tapered off gradually under medical supervision.

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

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Naxlex Comprehensive Predictor Exams

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

Correct Answer is A

Explanation

A nurse is assessing a client with panic disorder who is prescribed benzodiazepines. Which statement by the client indicates a need for further education?

Correct Answer is D

Explanation

A nurse is evaluating the outcomes for a client with panic disorder. Which outcome would indicate effective management of panic disorder?

A nurse is assessing a client with panic disorder. Which of the following interventions should the nurse prioritize?

Which of the following is a possible risk factor for 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?

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)

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 providing education to a client diagnosed with panic disorder. Which of the following statements by the client indicates an understanding of the disorder?

Which statement accurately describes the nursing care for panic disorder?