Which of the four classes of medications used for panic disorder is considered the safest because of its low incidence of side effects and lack of physiologic dependence?

Choice A reason: Moving far away from the client may reduce immediate risk to the nurse, but it does not address the underlying hostility or prevent escalation. In fact, withdrawing completely can leave the client feeling abandoned, ignored, or misunderstood, which may worsen agitation. Therapeutic intervention requires maintaining safety while still engaging the client in a supportive manner.

Choice B reason: Allowing the client to get their way reinforces maladaptive and potentially manipulative behavior. This approach undermines therapeutic boundaries and fails to teach the client healthier coping strategies. It may provide temporary relief but ultimately perpetuates aggression as a means of control.

Choice C reason: Yelling at the client escalates tension and models aggressive communication. This approach increases the likelihood of physical aggression by challenging the client in a hostile manner. It also violates therapeutic communication principles, which emphasize calm, respectful, and non-confrontational interaction.

Choice D reason: Engaging the hostile client in dialogue is the most effective intervention. Calm, therapeutic communication helps the client verbalize feelings, regain control, and de-escalate before reaching a crisis phase. Dialogue allows the nurse to assess triggers, provide reassurance, and redirect behavior toward safer coping mechanisms. This approach maintains safety while promoting trust and therapeutic rapport.

Choice A reason: Lorazepam, a benzodiazepine, reduces acute anxiety by promoting relaxation. This allows clients to focus on coping strategies and problem-solving. This statement reflects realistic expectations of the medication’s role as a short-term aid rather than a cure.

Choice B reason: Benzodiazepines carry a risk of dependence and addiction, especially with long-term use. Saying there is no risk indicates a misunderstanding of the medication’s potential adverse effects.

Choice C reason: Lorazepam is not intended for indefinite use. Long-term reliance is discouraged due to tolerance, dependence, and side effects. This statement reflects inaccurate understanding of treatment goals.

Choice D reason: Medication does not eliminate anxiety entirely. It reduces symptoms but does not cure the disorder. Effective management requires therapy and coping strategies. This statement shows unrealistic expectations.