Interventions for a client with panic disorder include which of the following? Select all that apply.
Encouraging the client to verbalize feelings.
Telling the client to ignore any anxious feelings.
Teaching relaxation exercises to the client.
Reminding the client to practice relaxation when anxiety level is low.
Helping the client avoid panic-producing situations.
Teaching the client reframing techniques.
Correct Answer : A,C,D,F
Choice A reason: Encouraging the client to verbalize feelings is therapeutic because it helps the client process emotions, reduce internal tension, and gain insight into triggers. Verbalization also allows the nurse to assess the severity of symptoms and provide appropriate support.
Choice B reason: Telling the client to ignore anxious feelings is ineffective and potentially harmful. Ignoring anxiety does not resolve it and can worsen symptoms by reinforcing avoidance and denial.
Choice C reason: Teaching relaxation exercises is evidence-based and helps reduce sympathetic nervous system activation. Techniques such as deep breathing, progressive muscle relaxation, and guided imagery empower the client to manage anxiety independently.
Choice D reason: Reminding the client to practice relaxation when anxiety is low reinforces skill-building. Practicing during calm periods ensures the client can effectively use relaxation techniques during acute anxiety episodes.
Choice E reason: Helping the client avoid panic-producing situations is maladaptive. Avoidance reinforces fear and prevents the client from learning coping strategies. Exposure therapy, not avoidance, is the recommended approach.
Choice F reason: Teaching reframing techniques helps the client challenge distorted thoughts and replace them with realistic, adaptive perspectives. This cognitive restructuring reduces catastrophic thinking and promotes resilience.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: A flashback is a sudden, intrusive re-experiencing of a traumatic event where the individual feels as though they are reliving the trauma. In this case, the nurse perceived her father’s facial features on another patient and experienced panic, which is consistent with a flashback. The nurse temporarily lost touch with reality and believed she was seeing her deceased father, which is a hallmark of flashback episodes in PTSD.
Choice B reason: Dreams are re-experiencing of trauma during sleep, often in the form of nightmares. This scenario occurred while the nurse was awake and actively working, not during sleep. Therefore, it does not fit the definition of a dream manifestation of PTSD.
Choice C reason: Emotional numbing refers to detachment, lack of emotional responsiveness, or inability to feel emotions related to trauma. The nurse did not demonstrate detachment or blunted affect; instead, she experienced intense panic and fear, which is the opposite of emotional numbing.
Choice D reason: Hyperarousal involves symptoms such as irritability, exaggerated startle response, difficulty sleeping, or hypervigilance. While panic can occur in hyperarousal, the key feature here is the misperception of reality and reliving of the trauma, which is more consistent with a flashback than hyperarousal.
Correct Answer is D
Explanation
Choice A reason: Avoiding discussion invalidates the client’s experience and prevents therapeutic processing. Silence can reinforce shame and isolation.
Choice B reason: Medication may reduce anxiety symptoms but does not address the trauma or its psychological impact. It is not the primary intervention for abuse history.
Choice C reason: Suggesting the client has a role in perpetuating abuse is victim-blaming and unethical. Abuse is the responsibility of the perpetrator, not the victim.
Choice D reason: Encouraging the client to talk about feelings related to the abuse promotes healing, validates her experience, and helps integrate trauma into therapy. This is the therapeutic and ethical approach.
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