A nurse is providing interventions for a client with panic disorder. Which interventions should the nurse include in the plan of care? (Select all that apply)
A.
Provide a safe and calm environment for the client during a panic attack.
B.
Use therapeutic communication skills to establish rapport and trust with the client.
C.
Educate the client about panic disorder and its treatment options.
D.
Encourage the client to participate in cognitive-behavioral therapy (CBT)
E.
Refer the client to self-help groups for peer support and education.
The Correct Answer and Explanation is:
The correct answers are:
A. Provide a safe and calm environment for the client during a panic attack.
B. Use therapeutic communication skills to establish rapport and trust with the client.
C. Educate the client about panic disorder and its treatment options.
D. Encourage the client to participate in cognitive-behavioral therapy (CBT).
E. Refer the client to self-help groups for peer support and education.
Explanation:
A. Provide a safe and calm environment for the client during a panic attack: During a panic attack, the client is experiencing overwhelming fear and physical symptoms such as palpitations, sweating, and shortness of breath. Creating a safe and calm environment helps to minimize external stressors that could exacerbate the client’s symptoms. A calm environment can help the client feel more secure and may reduce the intensity and duration of the panic attack. It is essential for the nurse to remain calm and reassuring, which can help the client feel less isolated and more supported.
B. Use therapeutic communication skills to establish rapport and trust with the client: Establishing rapport and trust is crucial in managing panic disorder. Therapeutic communication involves active listening, empathy, and validating the client’s feelings. This approach helps the client feel understood and supported, which is vital for their engagement in treatment. Building a trusting relationship can encourage the client to be more open about their experiences and difficulties, facilitating more effective management of their condition.
C. Educate the client about panic disorder and its treatment options: Education is a key component of managing panic disorder. Understanding the nature of the disorder, its symptoms, and available treatment options can empower the client and reduce anxiety. Knowledge about panic disorder can help the client recognize triggers, understand the physiological responses, and become more proactive in their management plan. Educating the client about treatment options, including medication and therapy, allows them to make informed decisions about their care.
D. Encourage the client to participate in cognitive-behavioral therapy (CBT): Cognitive-behavioral therapy (CBT) is a highly effective treatment for panic disorder. CBT helps clients identify and challenge irrational thoughts and beliefs associated with panic attacks. It also involves exposure techniques to gradually reduce fear of panic symptoms and situations. Encouraging participation in CBT can help clients develop coping strategies, manage anxiety, and ultimately reduce the frequency and severity of panic attacks.
E. Refer the client to self-help groups for peer support and education: Self-help groups provide valuable peer support and education for individuals with panic disorder. These groups offer a platform for sharing experiences, learning from others, and gaining encouragement. Participation in self-help groups can enhance the client’s coping strategies and provide additional resources and support beyond individual therapy and medical treatment. These groups can also help reduce feelings of isolation and provide practical tips and reassurance from individuals who have experienced similar challenges.
Incorporating all these interventions into the plan of care can create a comprehensive approach to managing panic disorder, addressing both immediate symptoms and long-term strategies for improvement.