A nurse is creating a plan of care for a client who has panic disorder. Which of the following interventions should the nurse include?
Encourage the client to attend group therapy sessions.
Allow the client to choose scheduled daily activities.
Use simple words to describe procedures to the client.
Avoid discussing topics that can trigger a panic attack.
The Correct Answer is C
A reason: Encourage the client to attend group therapy sessions. While group therapy can be beneficial for some clients, it may not be the best initial approach for those with panic disorder. Group settings can sometimes increase anxiety and trigger panic attacks.
B reason: Allow the client to choose scheduled daily activities. While allowing clients some control over their daily activities can be empowering, it does not directly address the symptoms of panic disorder. Structured interventions and therapeutic techniques are more effective.
C reason: Use simple words to describe procedures to the client. Using simple, clear language when explaining procedures helps reduce anxiety and prevent misunderstandings that could trigger a panic attack. This approach is particularly effective for clients with panic disorder, who may become easily overwhelmed.
D reason: Avoid discussing topics that can trigger a panic attack. While it is important to be mindful of topics that may cause distress, complete avoidance can prevent clients from learning to manage their triggers. Therapeutic approaches often involve gradual exposure to triggers in a controlled and supportive environment.
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Related Questions
Correct Answer is C
Explanation
A reason: The child has a history of jaw fractures. While a history of fractures may indicate physical abuse, it is not specifically indicative of neglect. Child neglect often involves failure to provide necessary care, not necessarily causing physical injury.
B reason: The child seems frightened of their parent. Fear of a parent can be a sign of abuse or neglect, but it alone is not a definitive indicator of neglect. It requires further investigation to determine the cause of the child's fear.
C reason: The child has had no immunizations since birth. Failure to provide necessary medical care, such as immunizations, is a clear indicator of neglect. It shows a lack of attention to the child's health and well-being.
D reason: The child rocks back and forth continually. Repetitive behaviors like rocking can be a sign of psychological distress or developmental issues but are not specific indicators of neglect. They require further evaluation to understand the underlying cause.
Correct Answer is ["B","C"]
Explanation
A reason: Hallucinations. Hallucinations can be distressing and are associated with various mental health conditions, but they are not a direct indicator of suicide risk without other contributing factors.
B reason: Depression. Depression is a significant risk factor for suicide. Clients experiencing persistent sadness, hopelessness, and a lack of interest in life are at a higher risk for attempting suicide.
C reason: Delusions. Delusions, particularly those that are paranoid or nihilistic, can contribute to feelings of hopelessness and despair, increasing the risk of suicide attempts.
D reason: Catatonia. Catatonia involves motor immobility and behavioral abnormality. While it is a serious condition requiring treatment, it is not a direct indicator of suicide risk without other contributing factors.
E reason: Tinnitus. Tinnitus, or ringing in the ears, is not associated with an increased risk of suicide. It is a physical symptom that does not directly influence suicidal behavior.
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