A nurse is caring for a client recently diagnosed with panic disorder. The provider has prescribed pharmacologic treatment. Which of the following medications are commonly used in the treatment of panic disorder? (Select all that apply.)

Propranolol

Clonidine

Alprazolam

Buspirone

Clonazepam

Answer and Explanation

Correct Answer : C,E

Choice A reason: Propranolol is a beta-blocker primarily used for performance-related anxiety and physical symptoms like tremors or palpitations. It is not considered first-line or standard treatment for panic disorder.

Choice B reason: Clonidine is an alpha-2 adrenergic agonist used more often for hypertension, withdrawal syndromes, and sometimes ADHD. It is not a recommended pharmacologic option for panic disorder.

Choice C reason: Alprazolam, a benzodiazepine, is effective for acute management of panic attacks by rapidly reducing anxiety. However, it is generally used short-term due to risks of tolerance, dependence, and withdrawal.

Choice D reason: Buspirone is an anxiolytic used mainly for generalized anxiety disorder. It lacks efficacy in panic disorder and is not typically prescribed for it.

Choice E reason: Clonazepam, another benzodiazepine, is often used to manage panic disorder due to its longer half-life compared to alprazolam, making it effective in reducing frequency and severity of panic attacks.

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Correct Answer is B

Explanation

Choice A reason: Dismissing the client’s concern as imagination invalidates their feelings and does not uphold honesty, which may worsen paranoia.

Choice B reason: Veracity means truthfulness. Clearly identifying the medication as prescribed treatment provides honest information while supporting trust.

Choice C reason: Withholding information violates both client rights and the ethical principle of veracity. Clients have the right to know what medications they receive.

Choice D reason: Misrepresenting the purpose of the drug undermines trust and is dishonest, which goes against ethical standards.

A. The client was unable to distinguish right from wrong due to a mental disorder at the time of the crime. B. The client had a documented history of mental illness prior to the crime. C. The client was compelled by uncontrollable impulses to commit the act. D. The client was unaware of the consequences of their actions due to intoxication.

Correct Answer is A

Explanation

Choice A reason: The M’Naghten Rule requires proof that, due to mental illness, the person did not understand the nature of the act or could not distinguish right from wrong at the time of the offense. This is the key standard used in many jurisdictions for insanity defenses.

Choice B reason: Having a history of mental illness alone is not sufficient; the rule focuses on the client’s mental state during the offense, not prior diagnoses.

Choice C reason: Being driven by uncontrollable impulses is not part of the M’Naghten criteria. This falls more under the “irresistible impulse” test, which is separate.

Choice D reason: Intoxication, even if it impairs judgment, does not qualify under the M’Naghten Rule. Voluntary substance use generally excludes insanity defenses.

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A nurse is caring for a client recently diagnosed with panic disorder. The provider has prescribed pharmacologic treatment. Which of the following medications are commonly used in the treatment of panic disorder? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with schizophrenia who has a history of paranoid delusions asks the nurse, "Are you giving me something to poison me?" The nurse knows the client is receiving an antipsychotic medication. Applying the ethical principle of veracity, which response by the nurse is most appropriate?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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