A client comes to the ED for the fifth time in 2 weeks with severe physical and emotional symp-toms: She is diaphoretic, her heart is racing (124 bpm), she states she cannot breathe, and she is experiencing chest pain
Her BP is 148/90, and she tells the nurse she is afraid she is going to die. On all five visits, no physical cause for the symptoms could be determined. The nurse analyzes the history and symp-toms as being most consistent with the medical diagnosis:
1. Phobia
2. Panic disorder
3. Generalized anxiety disorder
4. Anxiety trait problem
ANS: 2
The symptoms are consistent with those of panic disorder. 1. There is no mention of an object of fear. 3. The symptoms are more acute than for generalized anxiety disorder. 4. Anxiety trait problem is not a medical diagnosis.
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