A nurse is providing care to a client with panic disorder. Which of the following statements by the nurse is appropriate?
"You should avoid situations that might trigger your panic attacks.".
"Having panic attacks means there's something physically wrong with you.".
"You should try to ignore your panic attacks and distract yourself.".
"It's common for people with panic disorder to also experience depression.".
The Correct Answer is D
The correct answer is Choice D.
Choice A rationale: Avoidance reinforces fear conditioning and impairs extinction learning; exposure-based strategies are more effective in reducing panic symptoms and restoring functional coping through cognitive-behavioral therapy.
Choice B rationale: Panic attacks are driven by autonomic dysregulation and cognitive misinterpretation, not physical pathology; suggesting physical illness increases somatic focus and health anxiety, worsening panic disorder outcomes.
Choice C rationale: Ignoring panic attacks delays cognitive restructuring and emotional processing; distraction may help short-term but does not address underlying maladaptive beliefs or autonomic hyperarousal.
Choice D rationale: Comorbidity between panic disorder and depression is well-documented; shared neurobiological pathways and chronic distress increase risk for mood disorders, requiring integrated assessment and treatment planning.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D","E"]
Explanation
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.
Correct Answer is A
Explanation
Choice A rationale:
Cognitive-behavioral therapy (CBT) is a well-established non-pharmacological treatment for panic disorder. It focuses on identifying and challenging negative thought patterns and beliefs that contribute to anxiety. By addressing these cognitive distortions, clients can learn to manage their panic symptoms more effectively.
Choice B rationale:
Exposure therapy is another evidence-based approach for treating anxiety disorders. However, it involves gradual exposure to feared situations or stimuli to reduce anxiety over time. While it can benefit clients with panic disorder, it does not specifically address challenging negative thoughts as CBT does.
Choice C rationale:
Lifestyle modifications, such as regular exercise, a balanced diet, and stress reduction techniques, can indeed help reduce physical symptoms associated with panic attacks. However, they do not directly address the cognitive and emotional aspects of panic disorder like CBT does.
Choice D rationale:
Complementary therapies may have a role in managing anxiety, but they are unlikely to replace the need for medications or evidence-based psychotherapies. These therapies, such as acupuncture or herbal remedies, are typically used as adjuncts to conventional treatments rather than substitutes.
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