Registered Practical Nurse (RPN) Practice Test

Which physical symptom should the nurse assess in a client with panic disorder?

1. Difficulty concentrating

2. Palpitations or chest discomfort

3. Excessive sweating

4. Increased energy levels

The correct answer is: Palpitations or chest discomfort

In the context of panic disorder, palpitations or chest discomfort are primary physical symptoms that the nurse should assess. This disorder is characterized by sudden and intense periods of fear or discomfort, often accompanied by physical symptoms that mimic cardiac issues. Palpitations can feel like a racing heartbeat or a feeling of the heart pounding, which can be alarming to the individual experiencing a panic attack. This symptom is indicative of the body's activation of the fight-or-flight response, which is a significant element of panic disorder. When evaluating a client for panic disorder, it is crucial for the nurse to understand that while difficulty concentrating, excessive sweating, and increased energy levels may occur in conjunction with anxiety disorders, the most prominent physical symptom during a panic attack is often the sensation of palpitations or chest discomfort. This can lead to misinterpretation of symptoms as more serious medical issues, warranting appropriate assessment and intervention.