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

"I should avoid medications that increase serotonin levels in the brain.”

"Antihypertensives can help reduce physical symptoms of panic attacks.”

"Antiepileptics can enhance the effects of gamma-aminobutyric acid (GABA) in the brain.”

"Tricyclic antidepressants inhibit the reuptake of norepinephrine in the brain.”

Answer and Explanation

The Correct Answer is C

Choice A rationale:

"I should avoid medications that increase serotonin levels in the brain." While avoiding medications that increase serotonin levels is relevant in some cases, it's not a comprehensive understanding of pharmacological treatment for panic disorder. Serotonin-related medications like selective serotonin reuptake inhibitors (SSRIs) are commonly used for panic disorder treatment.

Choice B rationale:

"Antihypertensives can help reduce physical symptoms of panic attacks." This statement is not accurate. Antihypertensives are not commonly used to treat panic disorder. Medications like beta-blockers may be prescribed to manage some physical symptoms of anxiety, but they are not a primary treatment for panic disorder.

Choice C rationale:

"Antiepileptics can enhance the effects of gamma-aminobutyric acid (GABA) in the brain." This is the correct choice. Antiepileptic medications like pregabalin and gabapentin can indeed enhance the effects of GABA, an inhibitory neurotransmitter that helps reduce anxiety and panic. These medications are sometimes used to manage panic disorder symptoms.

Choice D rationale:

"Tricyclic antidepressants inhibit the reuptake of norepinephrine in the brain." While tricyclic antidepressants have been used historically to treat panic disorder, they are not considered first-line treatments due to their potential side effects and the availability of newer, safer options. The statement in Choice D is accurate but not as relevant to current treatment approaches.

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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. Provide a safe and calm environment for the client during a panic attack. B. Use therapeutic communication skills to establish rapport and trust with the client. C. Educate the client about panic disorder and its treatment options. D. Encourage the client to participate in cognitive-behavioral therapy (CBT) E. Refer the client to self-help groups for peer support and education.

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.

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

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

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)

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

Explanation

A nurse is conducting a nursing assessment for a client with panic disorder. Which data should the nurse collect 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 nurse is caring for a client with panic disorder who is prescribed pharmacological treatment. Which interventions should the nurse include in the plan of care? Select all that apply.

A nurse is providing education to a client diagnosed with panic disorder. Which of the following statements by the client indicates an understanding of the disorder?

A client with panic disorder is experiencing anticipatory anxiety. Which of the following statements by the client indicates an understanding of anticipatory anxiety?

Which psychotherapy technique can help clients with panic disorder gradually confront their feared situations or places?

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

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?