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?
"Cognitive-behavioral therapy can help me challenge negative thoughts.".
"Exposure therapy can provide additional benefits for my anxiety and mood.".
"Lifestyle modifications can reduce physical symptoms of panic attacks.".
"Complementary therapies can replace the need for medications.".
The Correct Answer is A
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Cognitive-behavioral therapy (CBT) is a psychotherapy technique commonly used to help clients with panic disorder. It focuses on identifying and challenging negative thought patterns and behaviors that contribute to panic attacks. By changing these thought-behavior patterns, individuals can better manage their panic symptoms.
Choice B rationale:
Exposure therapy is another psychotherapy technique used for panic disorder. It involves gradually exposing clients to their feared situations or places in a controlled and supportive environment. Through repeated exposure, individuals can learn to tolerate and manage their anxiety, leading to a reduction in panic attacks.
Choice C rationale:
Relaxation techniques are not the primary psychotherapy technique for panic disorder. While relaxation techniques can help manage general anxiety, panic disorder often requires more targeted interventions like CBT and exposure therapy.
Choice D rationale:
Lifestyle modifications can be beneficial for managing anxiety in general, but they are not a psychotherapy technique specifically designed to help clients confront their feared situations. Psychotherapy techniques like CBT and exposure therapy are more effective in this context.
Correct Answer is D
Explanation
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.
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