A nurse is caring for a client diagnosed with panic disorder. Which of the following complications should the nurse monitor for in this client?

Choice A rationale:

Collecting vital signs, weight, height, and BMI is important for a general health assessment, but these measurements are not the primary focus when assessing a client with panic disorder.

Choice B rationale:

Gathering information about the client's support system, self-esteem, and coping strategies is relevant for understanding the client's overall well-being, but it may not provide as much insight into the specific factors contributing to panic disorder.

Choice C rationale:

This choice is correct because it addresses essential aspects of the assessment for a client with panic disorder. Understanding the client's medical history can reveal any underlying health conditions that might contribute to anxiety. Knowledge of medication use is crucial to identify potential interactions or side effects that could exacerbate anxiety. Family history provides insight into genetic predispositions and potential risk factors.

Choice D rationale:

Collecting laboratory tests and diagnostic tools might be necessary for ruling out other medical conditions that could mimic anxiety symptoms, but these should be secondary to gathering information about medical history, medication use, and family history when assessing a client with panic disorder.

Choice A rationale:

Providing a safe and calm environment during a panic attack (choice A) is crucial to help the client feel secure and reduce the intensity of the attack.

Choice B rationale:

Using therapeutic communication skills (choice B) is essential to establish rapport and trust with the client, creating a foundation for effective therapeutic interventions.

Choice C rationale:

Educating the client about panic disorder and its treatment options (choice C) empowers them to actively participate in their treatment and make informed decisions.

Choice D rationale:

Encouraging the client to participate in cognitive-behavioral therapy (CBT) (choice D) is a evidence-based approach for managing panic disorder. CBT helps the client develop coping strategies and change maladaptive thought patterns.

Choice E rationale:

Referring the client to self-help groups for peer support and education (choice E) offers additional resources and insights from individuals who have experienced similar challenges, fostering a sense of community and reducing isolation.