A nurse is creating a plan of care for a client who has panic disorder. Which of the following interventions should the nurse include?

Choice A reason: While group therapy can be beneficial for many psychiatric conditions, clients with panic disorder may initially struggle in group settings due to heightened anxiety and fear of scrutiny. Individual therapy and gradual exposure are often prioritized before group participation is introduced. Choice B reason: Allowing the client to choose daily activities may promote autonomy, but it does not directly address the acute needs of someone experiencing panic disorder. Structured routines and clear expectations are more effective in reducing anxiety and promoting stability. Choice C reason: Using simple words to describe procedures is essential for clients with panic disorder. Clear, concise communication helps reduce cognitive overload and prevents misinterpretation, which can trigger panic. This approach fosters trust and minimizes anticipatory anxiety. Choice D reason: Avoiding all potentially triggering topics may inadvertently reinforce avoidance behaviors, which are counterproductive in panic disorder treatment. Instead, gradual exposure and cognitive restructuring are recommended to help clients manage triggers effectively.