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.

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

Assist the client in challenging irrational thoughts.

Choice A rationale:

While medication may be a part of the treatment plan, the primary goal of establishing a therapeutic relationship is not to immediately prescribe medication. Building trust, rapport, and understanding the client's needs are initial priorities.

Choice B rationale:

Educating the client about relaxation techniques can be helpful, but the primary goal is to address the cognitive and emotional aspects of anxiety. Challenging irrational thoughts is a more central focus.

Choice C rationale:

The primary goal of establishing a therapeutic relationship with a client with anxiety disorder is to assist the client in challenging irrational thoughts. This involves identifying distorted thought patterns and helping the client reframe or replace these thoughts with more realistic and balanced ones.

Choice D rationale:

Developing measurable and realistic outcomes is an important aspect of the therapeutic process, but it is not the primary goal of establishing the therapeutic relationship. Measurable outcomes come after working through various therapeutic interventions.

A. "Tell me about your favorite hobbies.". B. "You should avoid situations that make you anxious.". C. "Why do you feel this way?". D. "Anxiety is not a big deal, everyone feels it sometimes.".

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.

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

Correct Answer is C

Explanation

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

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

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

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?

(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.