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.".

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Advising the client to avoid triggering situations oversimplifies the management of panic disorder. Exposure therapy is a common treatment, gradually confronting feared situations to reduce anxiety.

Choice B rationale:

This choice reflects an appropriate understanding of panic disorder. Panic attacks are primarily driven by psychological factors, and reassuring the client that there's nothing physically wrong helps reduce unnecessary health concerns.

Choice C rationale:

Encouraging the client to ignore panic attacks isn't therapeutic. Acknowledging and learning to manage the attacks, rather than suppressing them, is essential.

Choice D rationale:

While comorbidity exists, directly associating panic disorder with depression can be misleading. Not all individuals with panic disorder experience depression.

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Correct Answer is D

Explanation

Choice A rationale:

Taking benzodiazepines as needed for panic attacks is an incorrect statement. Benzodiazepines are generally not intended for "as-needed" use due to the risk of dependence and withdrawal. They are typically prescribed on a scheduled basis to provide consistent anxiety relief.

Choice B rationale:

Avoiding alcohol while taking benzodiazepines is important due to potential interactions between alcohol and the medication. Both substances can have central nervous system depressant effects, which can lead to increased drowsiness, impaired coordination, and cognitive deficits.

Choice C rationale:

Experiencing drowsiness and dizziness are common side effects of benzodiazepines. Educating the client about these potential side effects is necessary to promote safety and to avoid engaging in activities that require alertness while taking the medication.

Choice D rationale:

This statement indicates a need for further education. Abruptly stopping benzodiazepines can lead to withdrawal symptoms, which may include increased anxiety, irritability, insomnia, and even seizures. Benzodiazepines should be tapered off gradually under medical supervision.

A. Beta-blockers. B. Anticonvulsants. C. Selective serotonin reuptake inhibitors (SSRIs) D. Tricyclic antidepressants (TCAs)

Correct Answer is C

Explanation

Choice A rationale:

Beta-blockers are not commonly used for the pharmacological treatment of panic disorder. While they are used for conditions like hypertension and certain heart conditions, they are not the primary choice for panic disorder. Panic disorder primarily involves disturbances in brain neurotransmitters, which beta-blockers do not directly target.

Choice B rationale:

Anticonvulsants are not the primary choice for treating panic disorder. While they may be used for other conditions such as epilepsy or bipolar disorder, their effectiveness in treating panic disorder is limited compared to other classes of medications like SSRIs.

Choice C rationale:

Selective serotonin reuptake inhibitors (SSRIs) are commonly used for the pharmacological treatment of panic disorder. Panic disorder often involves imbalances in serotonin, a neurotransmitter that plays a crucial role in mood regulation. SSRIs help increase serotonin levels in the brain by blocking its reuptake, thereby alleviating symptoms of panic and anxiety.

Choice D rationale:

Tricyclic antidepressants (TCAs) are sometimes used for panic disorder, but they are not the first-line treatment due to their potential side effects and safety concerns. SSRIs have largely replaced TCAs as the preferred choice due to their better tolerability and safety profile.

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A nurse is providing care to a client with panic disorder. Which of the following statements by the nurse is appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client with panic disorder who is prescribed benzodiazepines. Which statement by the client indicates a need for further education?

Correct Answer is D

Explanation

Which class of medications is commonly used for the pharmacological treatment of panic disorder?

Correct Answer is C

Explanation

Which statement accurately describes the nursing care for panic disorder?

A nurse is evaluating the outcomes for a client with panic disorder. Which outcome would indicate effective management of panic disorder?

Which of the following is a possible risk factor for panic disorder?

A nurse is caring for a client with panic disorder. Which statement accurately describes panic disorder?

A nurse is assessing a client with panic disorder. Which statement by the nurse would be appropriate during the assessment?

A nurse is providing education to a client with panic disorder about non-pharmacological treatment options. Which statement by the client indicates understanding of the teaching?

A client with panic disorder expresses concern about having another panic attack. Which of the following statements by the client indicates a need for further education?

A nurse is providing interventions for a client with panic disorder. Which interventions should the nurse include in the plan of care? (Select all that apply)