Select the appropriate nursing actions for a client with panic disorder. (Select all that apply.)
Tell them everything is going to be okay.
Helping the client avoid panic-producing situations.
Reminding the client to practice relaxation when anxiety level is low.
Telling the client to ignore any anxious feelings.
Encouraging the client to verbalize feelings.
Correct Answer : B,C,E
Choice A reason: Telling the client everything is going to be okay is overly simplistic and does not provide therapeutic support. Clients with panic disorder need structured coping strategies rather than reassurance alone.
Choice B reason: Helping the client avoid panic-producing situations is appropriate because it reduces exposure to triggers that can precipitate panic attacks. This intervention helps the client feel safe and supported.
Choice C reason: Reminding the client to practice relaxation when anxiety is low is effective because it builds coping skills that can be used during times of heightened anxiety. Techniques such as deep breathing and progressive muscle relaxation are beneficial.
Choice D reason: Telling the client to ignore anxious feelings is inappropriate because it invalidates their experience. Clients need to acknowledge and process their feelings to develop effective coping strategies.
Choice E reason: Encouraging the client to verbalize feelings is therapeutic because it helps them express emotions, gain insight, and receive support. This intervention fosters trust and reduces isolation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","E"]
Explanation
Choice A reason: Telling the client everything is going to be okay is overly simplistic and does not provide therapeutic support. Clients with panic disorder need structured coping strategies rather than reassurance alone.
Choice B reason: Helping the client avoid panic-producing situations is appropriate because it reduces exposure to triggers that can precipitate panic attacks. This intervention helps the client feel safe and supported.
Choice C reason: Reminding the client to practice relaxation when anxiety is low is effective because it builds coping skills that can be used during times of heightened anxiety. Techniques such as deep breathing and progressive muscle relaxation are beneficial.
Choice D reason: Telling the client to ignore anxious feelings is inappropriate because it invalidates their experience. Clients need to acknowledge and process their feelings to develop effective coping strategies.
Choice E reason: Encouraging the client to verbalize feelings is therapeutic because it helps them express emotions, gain insight, and receive support. This intervention fosters trust and reduces isolation.
Correct Answer is B
Explanation
Choice A reason: Lockjaw refers to trismus, a condition where the jaw muscles spasm and prevent opening or closing of the mouth. This is not a typical side effect of long-term antipsychotic use and does not match the described involuntary facial movements.
Choice B reason: Tardive dyskinesia is the correct diagnosis. It is a late-onset side effect of long-term antipsychotic therapy, especially with first-generation agents like chlorpromazine. It manifests as involuntary, repetitive movements such as lip smacking, choreiform movements, and facial distortions. These symptoms match the findings described in the scenario.
Choice C reason: Akathisia is characterized by inner restlessness and an inability to stay still, often presenting as pacing or constant movement. It does not involve the involuntary facial movements described here.
Choice D reason: Pseudoparkinsonism mimics Parkinson’s disease symptoms such as tremors, rigidity, and bradykinesia. It does not cause choreiform movements or lip smacking, so it does not fit the findings.
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