Question

A 59-year-old client with COPD also experiences panic disorder because of his breathing issues. Based on the nurse's understanding of panic disorder, the nurse knows that she would most likely see which of the following symptoms?

a) Cool, pale extremities
b) Hypotension and fainting
c) Confusion and aggression
d) Sweating, dizziness, and a rapid heartbeat

Answer 1

A 59-year-old client with COPD and panic disorder is most likely to exhibit symptoms such as sweating, dizziness, and a rapid heartbeat, which are part of the body's acute stress response.

Step-by-step explanation:

A 59-year-old client with COPD experiencing panic disorder is most likely to exhibit symptoms such as sweating, dizziness, and a rapid heartbeat. The symptoms of panic disorder often involve somatic manifestations that are associated with the body's acute stress response, commonly referred to as the 'fight or flight' response. This response includes increased heart rate (tachycardia), sweating (diaphoresis), trembling, shortness of breath (which may be more pronounced in someone with COPD), and feelings of impending doom or loss of control.

Confusion and aggression are not typically associated with panic disorder and may be indicative of other cognitive or psychiatric conditions. Cool, pale extremities and hypotension with fainting are less characteristic of panic attacks and could suggest other medical issues such as circulatory problems or vasovagal syncope.

In summary, the correct answer to the question, which asked about the likely symptoms seen in a client with COPD and panic disorder, is d) sweating, dizziness, and a rapid heartbeat.