A nurse is caring for a client with anxiety disorder who is prescribed anxiolytic medication. What is the mechanism of action of anxiolytics?

Blocking the effects of adrenaline.

Increasing the availability of neurotransmitters.

Modulating the activity of glutamate.

Enhancing the activity of serotonin and norepinephrine.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Blocking the effects of adrenaline is not the mechanism of action for anxiolytics. Anxiolytics primarily target neurotransmitter systems in the brain, not adrenaline (also known as epinephrine) pathways.

Choice B rationale:

Increasing the availability of neurotransmitters is not the primary mechanism of anxiolytics. While neurotransmitters are involved, anxiolytics like benzodiazepines and SSRIs focus on specific neurotransmitter systems, such as GABA (gamma-aminobutyric acid) and serotonin, rather than merely increasing neurotransmitter availability.

Choice C rationale:

Modulating the activity of glutamate is not the primary mechanism of anxiolytics. Glutamate is an excitatory neurotransmitter, and its modulation is more relevant to agents used in conditions like schizophrenia, rather than anxiety disorders.

Choice D rationale:

Enhancing the activity of serotonin and norepinephrine is the correct mechanism of anxiolytics. Medications like SSRIs (Selective Serotonin Reuptake Inhibitors) and SNRIs (Serotonin-Norepinephrine Reuptake Inhibitors) work by increasing the levels of these neurotransmitters in the brain. Serotonin and norepinephrine play critical roles in mood regulation and anxiety modulation.

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Correct Answer is A

Explanation

"Tell me about your favorite hobbies."

Choice A rationale:

Asking about hobbies is a non-threatening way to initiate the assessment while building rapport. This choice encourages the client to discuss positive aspects of their life, potentially lowering anxiety levels.

Choice B rationale:

Suggesting avoidance might not be suitable for assessment. While avoidance might reduce immediate anxiety, it's not a healthy long-term coping mechanism. This statement overlooks the opportunity to explore healthier strategies.

Choice C rationale:

This open-ended question might be too probing for an initial assessment. It could make the client defensive or overwhelmed and might not yield comprehensive information about their anxiety and coping mechanisms.

Choice D rationale:

This statement invalidates the client's feelings and suggests that anxiety is insignificant. It fails to acknowledge the client's experiences and discourages open expression.

A. "You should take your medication regardless of the side effects.". B. "Side effects are minimal and won't affect you much.". C. "I understand your concerns. Let's discuss the potential side effects so you're prepared.". D. "You're overthinking the side effects. It's not a big deal.".

Correct Answer is C

Explanation

"I understand your concerns. Let's discuss the potential side effects so you're prepared."

Choice A rationale:

This choice suggests a directive approach that disregards the client's apprehensions. Anxiety disorders often involve heightened sensitivity, and this response might exacerbate the client's distress.

Choice B rationale:

Choice B downplays the significance of side effects, which may undermine the client's worries. While some side effects might indeed be minimal, it's essential to address the client's concerns more empathetically.

Choice C rationale:

This is the appropriate response. Acknowledging the client's concerns and offering to discuss potential side effects in a supportive manner is a therapeutic approach. It promotes open communication, empowers the client, and helps them make informed decisions.

Choice D rationale:

Choice D dismisses the client's worries and could invalidate their feelings. It's important to avoid belittling the client's concerns, as it may hinder the development of a trusting nurse-client relationship.

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A nurse is caring for a client with anxiety disorder who is prescribed anxiolytic medication. What is the mechanism of action of anxiolytics?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client's level of anxiety and coping mechanisms. Which statement by the nurse is appropriate during the assessment?

Correct Answer is A

Explanation

A client with anxiety disorder expresses concerns about medication side effects. Which statement by the nurse is appropriate?

Correct Answer is C

Explanation

(Select all that apply): A nurse is educating a client with anxiety disorder about pharmacological treatments. Which of the following are examples of pharmacological treatments for anxiety disorders? Select all that apply.

A nurse is evaluating the outcomes of nursing interventions for a client with anxiety disorder. What is a possible positive outcome?

(Select all that apply):A nurse is providing education to a client with anxiety disorder. Which of the following are appropriate techniques for relaxation that the nurse might teach the client? Select all that apply.

A nurse is assessing a client's level of anxiety and coping mechanisms. Which statement by the nurse is appropriate during the assessment?

A nurse is establishing a therapeutic relationship with a client with anxiety disorder. What is the primary goal of this intervention?

A client with anxiety disorder expresses concerns about starting therapy. Which response by the nurse demonstrates appropriate communication?

A nurse is caring for a client with anxiety disorder who is prescribed anxiolytic medication. What is the mechanism of action of anxiolytics?

A nurse is implementing nursing interventions for a client with anxiety disorder. Which intervention is aimed at promoting coping skills and enhancing self-esteem?