Nokea
A nurse is preparing an in-service presentation about panic disorders and associated theories related to the cause. When describing the cognitive-behavioral concepts associated with panic disorders, which of the following would the nurse expect to address?
- A. Personal losses
- B. Conditioned response
- C. Early separation
- D. Dysfunctional family communication
Correct Answer: B
Rationale: Cognitive-behavioral theory links panic disorder to a conditioned response (B), where physical sensations are misinterpreted as catastrophic, triggering panic. Personal losses (A), early separation (C), and dysfunctional communication (D) are more relevant to psychoanalytic theories.
You may also like to solve these questions
After teaching a class about the biochemical theories associated with panic disorder, the instructor determines a need for additional teaching when the students identify which neurotransmitter as being implicated?
- A. Dopamine
- B. Serotonin
- C. Norepinephrine
- D. Gamma-aminobutyric acid (GABA)
Correct Answer: A
Rationale: Serotonin (B), norepinephrine (C), and GABA (D) are implicated in panic disorder due to their roles in anxiety regulation. Dopamine (A) is primarily linked to psychosis and reward, not panic, indicating a misunderstanding.
A nurse is developing the plan of care for a client with panic disorder that will include pharmacologic therapy. Which of the following would the nurse most likely expect to administer?
- A. Benzodiazepine
- B. Selective serotonin reuptake inhibitor (SSRI)
- C. Monoamine oxidase inhibitor (MAOI)
- D. Tricyclic antidepressant (TCA)
Correct Answer: B
Rationale: SSRIs (B) are the first-line treatment for panic disorder due to their efficacy and safety profile for long-term management. Benzodiazepines (A) are used short-term, MAOIs (C) and TCAs (D) are less preferred due to side effects and dietary restrictions.
A group of students is reviewing information about the etiology of generalized anxiety disorder (GAD). The students demonstrate understanding of this information when they identify which of the following as representing the psychoanalytic theory for this disorder?
- A. Inaccurate environmental danger assessment
- B. Exposure to multiple stressful life events
- C. Kindling caused by overstimulation
- D. Unresolved unconscious conflicts
Correct Answer: D
Rationale: Psychoanalytic theory attributes GAD to unresolved unconscious conflicts (D), such as repressed emotions from early experiences. Inaccurate danger assessment (A) is cognitive, stressful events (B) are environmental, and kindling (C) is a neurobiological concept.
A group of students is reviewing information about anxiety disorders in preparation for a class examination. The students demonstrate understanding of the material when they state which of the following?
- A. Anxiety disorders rank second to depression in psychiatric illnesses being treated.
- B. Women experience anxiety disorders more often than do men.
- C. Most anxiety disorders tend to be short term with individuals achieving full recovery.
- D. Anxiety disorders are more common in children than in adolescents.
Correct Answer: B
Rationale: Women experience anxiety disorders more frequently than men (B), likely due to hormonal and social factors. Anxiety disorders are the most common psychiatric conditions (A), many are chronic (C), and prevalence is higher in adolescents than children (D).
A client with a panic disorder has been prescribed a benzodiazepine medication. Which of the following would the nurse emphasize as a risk associated with using this medication?
- A. Dietary restrictions
- B. Withdrawal symptoms
- C. Agitation
- D. Fecal impaction
Correct Answer: B
Rationale: Benzodiazepines (B) carry a significant risk of withdrawal symptoms, including anxiety and seizures, if stopped abruptly, necessitating careful tapering. Dietary restrictions (A) apply to MAOIs, agitation (C) is a symptom not a risk, and fecal impaction (D) is unrelated.