A nurse is collecting data from a group of clients who have anxiety disorders and have prescriptions for various psychotropic medications. The nurse should recognize which of the following clients as having an increased risk for suicide?

A client who has generalized anxiety disorder and takes diazepam (Valium)

A client who has generalized anxiety disorder and takes diphenhydramine (Benadryl)

A client who has social anxiety disorder and takes propranolol (inderal)

A client who has an obsessive-compulsive disorder and takes fluoxetine (Prozac

Answer and Explanation

The Correct Answer is D

A. Diazepam (Valium) is a benzodiazepine used for anxiety. While benzodiazepines can cause sedation and might carry a risk of dependence, they are not typically associated with an increased risk of suicidal ideation compared to antidepressants.

B. Diphenhydramine (Benadryl) is an antihistamine that might cause drowsiness and sedation. It's not primarily used for anxiety disorders, and it's less associated with increased suicidal risk compared to antidepressants.

C. Propranolol (Inderal) is a beta-blocker used for treating conditions like hypertension and anxiety disorders. It's not typically associated with an increased risk of suicide compared to antidepressants.

D. A client who has obsessive-compulsive disorder and takes fluoxetine (Prozac).
Fluoxetine (Prozac) is an antidepressant that belongs to the class of medications called selective serotonin reuptake inhibitors (SSRIs). While it's effective for treating OCD, when initiating or adjusting the dosage of an antidepressant like fluoxetine, there can be an increased risk of suicidal ideation or behavior, especially in younger individuals. This risk is particularly prevalent in the initial weeks of treatment or when there are dosage changes.

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Correct Answer is C

Explanation

A. Focusing attention on useful tasks: While the client's actions involve tasks, the primary motivation is to reduce anxiety rather than simply focusing attention on useful tasks for their own sake.

B. Manipulating and controlling others' behavior: The client's behavior is more related to managing their own anxiety through compulsive actions rather than manipulating or controlling others.

C. Decreasing anxiety to a tolerable level.
In obsessive-compulsive disorder (OCD), individuals often engage in repetitive and ritualistic behaviors as a way to manage anxiety. The compulsive behaviors, such as cleaning and picking up after others in this case, serve as a mechanism to reduce anxiety or prevent a feared event. These actions may provide a sense of control and temporary relief from obsessive thoughts.

D. Limiting the amount of time available for interaction with others: While the client's compulsive behaviors may limit social interactions, the primary purpose is to manage anxiety rather than intentionally limiting interaction with others.

A. "Avoid foods that contain tyramine." B. "Plant to discontinue this medication as soon as your depression is relieved." C. "Expect that your mood might take one to three weeks to begin improving." D. "Stop taking this medication if weight loss or gain occurs."

Correct Answer is C

Explanation

A. "Avoid foods that contain tyramine" is not relevant to fluoxetine. Tyramine restriction is a concern with certain medications, such as monoamine oxidase inhibitors (MAOIs), but not with SSRIs like fluoxetine.

B. "Plan to discontinue this medication as soon as your depression is relieved" is not advisable. Discontinuing an antidepressant abruptly can lead to withdrawal symptoms and may not allow for the full resolution of depressive symptoms. The decision to discontinue medication should be made in consultation with a healthcare provider.

C. "Expect that your mood might take one to three weeks to begin improving" is a crucial piece of information to provide because fluoxetine, a selective serotonin reuptake inhibitor (SSRI), often takes a few weeks to start exerting its therapeutic effects. It's important for the client to understand that the full benefits of the medication may not be felt immediately.

D. "Stop taking this medication if weight loss or gain occurs" is not an appropriate instruction. Weight changes are potential side effects of fluoxetine, but the decision to continue or discontinue the medication should be based on consultation with a healthcare provider. Abruptly stopping medication without medical guidance can lead to withdrawal symptoms and is not recommended.

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A nurse is collecting data from a group of clients who have anxiety disorders and have prescriptions for various psychotropic medications. The nurse should recognize which of the following clients as having an increased risk for suicide?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has obsessive compulsive disorder (OCD) and is constantly picking up after others and cleaning in the day room. The nurse should recognize the client's actions as which of the following?

Correct Answer is C

Explanation

A nurse is reinforcing teaching with a client who has a new prescription for fluoxetine. Which of the following instructions should the nurse Include?

Correct Answer is C

Explanation

A nurse is collecting data from a group of clients who have anxiety disorders and have prescriptions for various psychotropic medications. The nurse should recognize which of the following clients as having an increased risk for suicide?

A nurse is caring for a client on an acute care mental health unit who was involuntarily admitted for 72 hr after attacking a neighbor. To keep the client in the hospital when the initial time to hold the client expires, which of the following must be determined?

A nurse is collecting data from a client admitted to an inpatient mental health unit and has a new prescription for disulfiram (Antabuse). Which of the following information is most important for the nurse to obtain before administering this medication?

A nurse is collecting data from a client who has major depressive disorder (MDD). Which of the following findings should the nurse expect?

A nurse is reinforcing teaching with a client who has a prescription for amitriptyline. (Elavil) Which of the following client statement indicates an understanding of the teaching?