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 A

Explanation

Lorazepam belongs to a class of drugs called benzodiazepines, which are central nervous system (CNS) depressants.

Taking other CNS depressants such as opioids or sedatives along with lorazepam can lead to increased sedation, respiratory depression, and other serious side eﬀects. It is crucial for patients to avoid these medications while taking lorazepam.

Reporting insomnia is important, but it is not the most critical teaching for this medication. Eating a tyramine-free diet is not relevant to lorazepam use.

Adjusting the dose and frequency based on anxiety level is not recommended as it can lead to misuse or dependence on the medication. It is important to take lorazepam only as prescribed by a healthcare provider.

A. helping the patient how to identify and change faulty thinking B. negatively reinforcing an undesirable behavior every day to avoid-it C. focusing on conscious mental processes D. always discussing Freud ego stages

Correct Answer is A

Explanation

Cognitive therapy is a type of psychotherapy that focuses on identifying and changing negative thought patterns and beliefs that contribute to psychological distress. In this case, the single parent is experiencing feelings of inadequacy related to work and family since one teenaged child ran away 2 weeks ago. The cognitive therapist would work with the client to identify any negative or distorted thoughts they may be having about themselves, their situation, and their ability to cope.

Through cognitive therapy, the therapist would help the client learn how to challenge and change their negative thoughts and beliefs, replacing them with more realistic and positive ones. The goal of cognitive therapy is to help the client develop new coping skills and ways of thinking that will enable them to better manage their emotions and improve their overall well-being.

Option b, negatively reinforcing an undesirable behavior every day to avoid it, is not a component of cognitive therapy. This approach is more aligned with behavioral therapy, which focuses on modifying behaviors through reinforcement and punishment.

Option c, focusing on conscious mental processes, is partially correct, as cognitive therapy does focus on conscious mental processes. However, this alone does not fully capture the essence of cognitive therapy.

Option d, always discussing Freud ego stages, is not relevant to cognitive therapy, as it is a psychoanalytic approach developed by Freud that focuses on the unconscious mind and early childhood experiences.

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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:

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Naxlex Comprehensive Predictor Exams

Lorazepam (Ativan) is prescribed for a client experiencing severe acute anxiety. Most important teaching should include instructions to:

Correct Answer is A

Explanation

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:

Correct Answer is A

Explanation

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:

A nurse is caring for several clients who are attending community-based mental health programs. Which Of the following clients should the nurse plan to visit first? Select one:

Which technique will best communicate to a patient that the registered nurse is interested in listening?

Which individual with a mental illness may need emergency involuntary hospitalization for mental illness? The individual who: Select one:

A registered nurse is planning to care for a client who demonstrates manipulative behaviors. Which of the following interventions should be included in the plan of care?

A client is agitated and pacing in the hall near the nurses' station and swearing loudly. What response is the best for the registered nurse to provide? Select one:

A nurse is caring for a who requires a crisis intervention for acute anxiety. Which of the following actions is the highest priority?

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