Panic Disorders Nursing

A client reports to the nurse, 'I'm afraid of every little thing and I have a fear of dying. My heart races all the time, and I break out in sweats.' Which first-line medications would the nurse anticipate developing a teaching plan for? Select all that apply A) Sertraline B) Fluoxetine C) Phenelzine D) Alprazolam E) Imipramine

A) Sertraline B) Fluoxetine

Which action would the nurse take when a client experiences a panic attack? A) Use short sentences and an authoritative voice B) Describe the possible reasons for the client's anxiety C) Keep asking questions, because the client is probably not going to volunteer much information D) Suggest that the client refrain from crying, because most of the time crying makes matters worse

A) Use short sentences and an authoritative voice

Which descriptions would the nurse expect to hear from a client describing experiences of panic? Select all that apply. A) Severe withdrawal B) Hallucinations or delusions C) A decreased need for sleep D) Being more talkative than usual or feeling pressure to keep talking E) Flight of ideas or the subjective experience that thoughts are racing F) Feeling unreal (depersonalization) or that the world is unreal (derealization)

A) Severe withdrawal B) Hallucinations or delusions E) Flight of ideas or the subjective experience that thoughts are racing F) Feeling unreal (depersonalization) or that the world is unreal (derealization)

An anxious, panicked client states, 'I admitted myself because I think I'm going crazy.' Which interpretation would the nurse make about the client's remark? A) This is a plea for support B) The client has insight C) This is a symptom of depression D) The client is testing the nurse's trust

A) This is a plea for support

Which response would the nurse make to a client who has just experienced a panic attack? A) I would have been upset, too B) You are concerned that this might happen again C) Episodes like this will always come to an end D) Your family must have thought that you were having a heart attack

B) You are concerned that this might happen again

Which goal would cognitive therapy accomplish for a client who experiences panic attacks? A) Prevent future panic attacks B) Help the client hide the panic attacks C) Stop the panic attacks once they begin D) Decrease the fear of having panic attacks

D) Decrease the fear of having panic attacks

In light of the information shown, which nursing intervention would be appropriate for this client? VS: BP 160/88; HR: 120 bpm; RR: 26 Temperature: 98.8. Observations: hypervigilant state with an exaggerated startle response. Diaphoretic. Repeatedly states, "I feel like I'm going to die. Help me, please help me." Client reports having similar experiences 4 times in the last six weeks. A) Remaining with the client until the crisis is over B) Reinforcing for the client that a panic attack is rarely fatal C) Communicating with the client using detailed sentences D) Introducing soft soothing music into the environment to distract the client

A) Remaining with the client until the crisis is over

Which sedative-hypnotics would the nurse identify as being used to treat insomnia associated with a panic disorder? Select all that apply A) Phenelzine B) Paroxetine C) Alprazolam D) Imipramine E) Clonazepam

C) Alprazolam E) Clonazepam

A 13-year-old student reports, 'I worry about my parents because I don't want them to get a divorce. I can't stop worrying; I can't sleep; I'm always tired, and my grades have dropped.' Which condition is the student experiencing? A) Panic disorder B) Separation anxiety C) Generalized anxiety D) Acute stress disorder

C) Generalized anxiety

Which response would the nurse make to a client with panic disorder who had a panic attack on the previous day and says, 'That was a terrible feeling I had yesterday. I'm afraid to talk about it'? A) Okay; we don't have to talk about it B) Why don't you want to talk about it? C) What were you doing yesterday when you first noticed the feeling? D) I understand, but don't be concerned; that feeling probably won't come back

C) What were you doing yesterday when you first noticed the feeling?