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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

Therapeutic communication involves actively listening to the client, demonstrating empathy, and using open-ended questions to encourage the client to express their thoughts and feelings.

Reﬂecting (option a) and listening attentively (option b) are both examples of eﬀective therapeutic communication techniques as they demonstrate active listening and empathy.

However, oﬀering advice (option c) is a barrier to therapeutic communication because it implies that the nurse knows what is best for the client and can solve their problems for them.

This can create a power dynamic in the nurse-client relationship and may discourage the client from expressing their true thoughts and feelings. Giving information (option d) can be an important aspect of therapeutic communication, but it should be done in a way that respects the client's autonomy and involves collaboration rather than giving directives.

A. l keep reliving a car accident." B. My legs often feel weak and spastic." C. I am embarrassed to go out and speak in public." D. l check where my car keys are eight times."

Correct Answer is D

Explanation

This comment indicates the possibility of obsessive-compulsive disorder (OCD) because it describes a repetitive behavior that may be a compulsion. Compulsions are repetitive behaviors or mental acts that an individual feels driven to perform in response to an obsession or according to rules that must be applied rigidly. In this case, the individual’s compulsion may be to repeatedly check the location of their car keys in order to reduce anxiety or distress.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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 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:

Correct Answer is C

Explanation

A psychiatric nurse assesses a client who commonly experiences anxiety. Which comment by this person indicates the possibility of obsessive-compulsive disorder (OCD)? Select one:

Correct Answer is D

Explanation

A patient experiences an episode of severe anxiety. Of these medications in the patient's medical record. which is most appropriate to administer as an as-needed (PRN) anxiolytic medication? 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:

A nurse uses Maslow’s hierarchy of needs to plan care for a psychotic patient. Which problem will receive higher priority? The patient who: Select one:

The registered nurse is preparing for the termination phase of the nurse-client relationship. The registered nurse prepares to implement which nursing task that is most appropriate and most important for this phase? 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:

A nurse is caring for a client following a recent suicide attempt. Which of the following actions should the nurse take?

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?

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

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: