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

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Polyphagia: Polyphagia refers to excessive hunger or increased appetite. Cocaine use is not typically associated with increased appetite; in fact, it often suppresses appetite. Therefore, polyphagia is not an expected finding.

B. Fever: Cocaine use can lead to an increase in body temperature due to its stimulant effects on the central nervous system. Therefore, fever is a possible finding associated with cocaine use.

C. Bradycardia: Cocaine use is more commonly associated with tachycardia, an elevated heart rate, rather than bradycardia. Stimulants like cocaine typically increase heart rate and can cause palpitations and arrhythmias.

D. Oliguria: Oliguria refers to decreased urine output. While cocaine use can have various effects on the body, it is not typically associated with oliguria. Instead, it can lead to increased urinary frequency due to its stimulant effects.

A. Grandiosity B. Flight of ideas C. Splitting D. Hyperactivity E. withdrawal

Correct Answer is ["A","B","D"]

Explanation

A. Grandiosity: Individuals experiencing a manic episode may exhibit grandiosity, such as an inflated sense of self-importance, superiority, or power.

B. Flight of ideas: Flight of ideas refers to rapid, continuous speech that jumps from one topic to another, often with loose associations. It is a common manifestation of a manic episode.

C. Splitting: Splitting is a defense mechanism commonly associated with certain personality disorders, such as borderline personality disorder, but it is not typically observed during a manic episode of bipolar disorder.

D. Hyperactivity: Hyperactivity, or increased physical activity, is characteristic of a manic episode. Clients may engage in excessive goal-directed activities or restlessness.

E. Withdrawal: Withdrawal, or social withdrawal, is not a typical behavior during a manic episode. Instead, individuals with mania tend to exhibit increased sociability and extroversion.

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A nurse is creating a plan of care for a client who has panic disorder. Which of the following interventions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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Correct Answer is ["A","B","D"]

Explanation

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