A nurse is caring for a client who is prescribed alprazolam to manage severe manifestations of anxiety. Which of the following should the nurse prepare to discuss with the client?
Avoid driving or operating heavy machinery until you know how alprazolam affects you.
Relief of manifestations should be expected after a few weeks of therapy.
Foods that are known to be high in dietary tyramine should be avoided.
Increase the dose of medication as needed if relief of manifestations is not experienced.
The Correct Answer is A
A. Alprazolam is a benzodiazepine that can cause drowsiness, dizziness, and impair motor coordination. Therefore, the nurse should advise the client to avoid activities that require alertness until they understand how the medication affects them.
B. Alprazolam provides relatively quick relief of anxiety symptoms, often within hours, rather than requiring weeks of therapy like some other medications.
C. Foods high in tyramine are a concern for clients taking monoamine oxidase inhibitors (MAOIs), not alprazolam.
D. Increasing the dose without guidance from a healthcare provider is unsafe. The client should not adjust their medication dosage without consulting the provider.
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Correct Answer is D
Explanation
A. Isolating the client is not appropriate, as it can increase anxiety and exacerbate the compulsive behaviors.
B. Setting strict limits can lead to increased anxiety and resistance, making it harder to manage the compulsive behaviors.
C. Confronting the client about the senselessness of their compulsions can increase anxiety and worsen the behavior. It is more helpful to provide a supportive environment that allows for the rituals, gradually decreasing their frequency and intensity.
D. Clients with OCD often perform compulsive rituals to reduce anxiety. Planning time for rituals helps to manage the behavior while maintaining the therapeutic structure and routine on the unit.
Correct Answer is A
Explanation
A. A common symptom of panic attacks is the intense feeling of fear of impending doom, which can overwhelm the individual during an attack. The client may feel like something catastrophic is going to happen, even if no actual threat exists.
B. Obsessions are more commonly associated with obsessive-compulsive disorder (OCD), not panic attacks.
C. Apathy, or lack of emotion or interest, is typically not associated with panic attacks but may be seen in depression or certain other mental health conditions.
D. Fever is not a symptom of panic attacks but could be indicative of an infection or illness.
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