A client tells the nurse. "l wanted my health care provider to prescribe alprazolam (Xanax) for my anxiety disorder but buspirone (Buspar) was prescribed instead. Why?" The registered nurse's reply should be based on that buspirone:
Select one:

has faster Start of acting than diazepam.

does not produce blood dyscrasias or low WBC count.

does not cause dependence and benzodiazepines cause dependence.

can be administered as needed (PRN) only when you feel very anxious

Answer and Explanation

The Correct Answer is C

Buspirone and benzodiazepines are both medications used to treat anxiety disorders, but they work in diﬀerent ways. Benzodiazepines like Xanax work by enhancing the eﬀects of a neurotransmitter called GABA, which can produce a sense of relaxation and calmness. However, benzodiazepines can also cause dependence, tolerance, and withdrawal symptoms when used for a prolonged period.

On the other hand, buspirone works by binding to serotonin and dopamine receptors in the brain, which can reduce anxiety. Unlike benzodiazepines, buspirone does not cause dependence, tolerance, or withdrawal symptoms, which makes it a safer option for long-term treatment of anxiety disorders.

Therefore, the healthcare provider may have prescribed buspirone instead of alprazolam because it is a safer alternative for long-term use, especially for individuals who have a history of substance abuse or dependence. The nurse should explain the benefits of buspirone and address any concerns the client may have about the medication.

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Correct Answer is D

Explanation

In this scenario, the client has expressed a serious threat to harm someone, which triggers a healthcare provider's duty to warn law. The nurse appropriately informed the healthcare provider, who then informed their boss, to protect the potential victim from harm. This action is not a violation of privacy or confidentiality, as it is necessary for the safety and wellbeing of others.

Therefore, no disciplinary action is required for the nurse or the healthcare provider, as they acted in accordance with their professional and legal obligations to protect the safety of others.

A. Adverse eﬀect of antidepressant medication B. Attempt to reduce anxiety C. Narcissistic behavior D. Fear of rejection from staﬀ

Correct Answer is B

Explanation

Repetitive behaviors in individuals with OCD are often compulsions that are performed in an attempt to reduce anxiety or distress. These compulsions can take many forms, including repetitive actions such as applying and removing makeup. By engaging in these behaviors, the individual may feel a temporary reduction in anxiety or distress.

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A client tells the nurse. "l wanted my health care provider to prescribe alprazolam (Xanax) for my anxiety disorder but buspirone (Buspar) was prescribed instead. Why?" The registered nurse's reply should be based on that buspirone: Select one:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client tells the nurse that he wants to kill his boss, the registered nurse tells healthcare provider. The healthcare provider tells his boss. What disciplinary action is needed? Select one:

Correct Answer is D

Explanation

A nurse Observes a client who has OCD repeatedly applying, removing, and then reapplying makeup. The nurse identifies that repetitive behavior in a client who has OCD is due to which of the following underlying reasons? Select one:

Correct Answer is B

Explanation

After several therapeutic sessions with a client who recently attempted suicide, which occurrence should cause the nurse to consider the possibility of transference? Select one:

A nurse is caring for a client who has been diagnosed with end-stage liver cancer. Which of the following responses is an indication the client is in the denial phase of the grief process?

A nurse is communicating with a client who was just admited for treatment of a substance use disorder. Which of the following communication techniques should the nurse identify as a barrier to therapeutic communication? Select one:

The nurse provides care for clients in the pediatric clinic. The nurse understands that according to Erikson Stages of Psychosocial development, trust and significant early attachments develop during which time period?

A new client is diagnosed with agoraphobia. Which of the following would the healthcare identify as a characteristic of this disorder? Select one:

Which assessment finding for a client diagnosed with an eating disorder meets a criterion for hospitalization? Select one:

A client who is being treated with lithium carbonate for bipolar disorder type I begins to develop diarrhea, vomiting, and drowsiness. Which action should the registered nurse take? Select one:

A single parent is experiencing feelings of inadequacy related to work and family since one teenaged child ran away 2 weeks ago. The parent seeks the help of a therapist specializing in cognitive therapy. The psychotherapist who uses cognitive therapy will treat the client by: Select one:

A client tells the nurse. "l wanted my health care provider to prescribe alprazolam (Xanax) for my anxiety disorder but buspirone (Buspar) was prescribed instead. Why?" The registered nurse's reply should be based on that buspirone:
Select one: