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

A. Encourage the client to attend group therapy sessions. While group therapy can be beneficial for long-term management of anxiety disorders, individuals experiencing panic disorder may initially struggle with group settings. One-on-one therapy or cognitive-behavioral therapy (CBT) is often more effective in the early stages of treatment. B. Allow the client to choose scheduled daily activities. Providing structure and routine is important for clients with anxiety disorders, but too many choices can be overwhelming. A balance of structured activities with some flexibility is more effective in promoting a sense of control without increasing anxiety. C. Use simple words to describe procedures to the client. During a panic episode, cognitive processing is impaired due to extreme anxiety. Using clear, simple, and direct communication helps reduce confusion and prevents additional stress. This approach ensures the client understands what is happening, which can promote a sense of security. D. Avoid discussing topics that can trigger a panic attack. Avoidance of triggers is not a long-term solution for panic disorder. Instead, gradual exposure therapy and coping strategies help clients learn to manage their anxiety. The goal is to develop resilience rather than avoid anxiety-provoking situations entirely.