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. Encourage the client to attend group therapy sessions: While group therapy can be beneficial for some individuals with panic disorder by providing support and opportunities for learning coping strategies, it may not be appropriate for all clients. Some clients may feel overwhelmed or anxious in group settings, especially during panic attacks. The nurse should assess the client's readiness and comfort level with group therapy and individualize the treatment plan accordingly.
B. Allow the client to choose scheduled daily activities: Providing the client with a sense of control and autonomy over their daily activities can be helpful in managing anxiety and panic symptoms. However, this intervention alone may not address the specific cognitive and behavioral aspects of panic disorder. It is important to incorporate other evidence-based interventions, such as cognitive-behavioral therapy (CBT) techniques, into the treatment plan to address the underlying causes of panic attacks.
C. Use simple words to describe procedures to the client: Individuals with panic disorder may experience difficulty processing information and focusing during panic attacks or periods of heightened anxiety. Using simple and clear language to describe procedures can help reduce confusion and alleviate anxiety in these situations. It is important to provide information in a calm and reassuring manner to facilitate understanding and cooperation.
D. Avoid discussing topics that can trigger a panic attack: While it is important to be mindful of potential triggers for panic attacks, avoiding all discussion of triggering topics may not be practical or helpful in the long term. Instead, the nurse should work collaboratively with the client to identify triggers and develop coping strategies to manage them effectively. Avoidance alone may reinforce avoidance behaviors and perpetuate anxiety.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.4"]
Explanation
To find out how many milliliters (mL) the nurse should administer, we first need to determine the total dose required per administration. The client is receiving haloperidol 2 mg IM every 6 hours.
First, let's calculate the total dose required per administration:
2 mg (total dose) / 1 dose = 2 mg
Next, we need to determine how many milliliters (mL) of the medication solution contain this dose. The concentration of the haloperidol solution is 5 mg/mL.
We can set up a proportion to find the volume of the solution:
2 mg (dose required) / x mL (volume to administer) = 5 mg/mL (concentration)
Cross-multiplying:
2 mg * 1 mL = 5 mg * x mL
2 mL = 5x
To isolate x (the volume to administer), we divide both sides by 5:
x = 2 mL / 5
x = 0.4 mL
So, the nurse should administer 0.4 mL of haloperidol
Correct Answer is A
Explanation
A. “I check my breasts for lumps every day, but I’m still really scared about getting breast cancer.”: This statement reflects excessive worry about a specific medical condition (breast cancer) despite engaging in frequent checking behaviors. It is consistent with illness anxiety disorder.
B. “I have had several negative pregnancy tests but know they are all wrong.”: This statement suggests a belief that contradicts objective evidence (negative pregnancy tests) and may indicate a somatic symptom disorder or a delusional disorder rather than illness anxiety disorder.
C. “I double-check my pills because I think the pharmacist may be putting poison in them.”: This statement reflects mistrust or paranoia about medications and the intentions of the pharmacist. While it involves health-related concerns, it may be more indicative of paranoid ideation or delusional beliefs.
D. “I feel really nervous when my partner goes to work, and I am home alone during the day.”: This statement describes anxiety related to separation from a partner and being alone, which is not a characteristic feature of illness anxiety disorder. It may be more indicative of generalized anxiety disorder or separation anxiety disorder.
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