A nursing student reports experiencing test-taking anxiety, including physical symptoms like a racing heart and trembling hands before exams. Which medication would the healthcare provider likely prescribe for episodic and acute symptom relief?

Propranolol

Lorazepam

Sertraline

Buspirone

Answer and Explanation

The Correct Answer is B

A. Propranolol: Propranolol is a beta-blocker that can be used to treat physical symptoms of anxiety, such as a racing heart. While it may help reduce physiological symptoms, it does not address the psychological components of anxiety and is not commonly prescribed for acute anxiety episodes like test-taking anxiety. Propranolol is more effective for individuals with performance anxiety (e.g., public speaking).

B. Lorazepam: Lorazepam is a benzodiazepine that works by depressing the central nervous system, providing rapid relief of acute anxiety symptoms. It is often used for short-term management of anxiety and can effectively reduce symptoms such as racing heart and trembling hands, making it appropriate for episodic anxiety like test-taking anxiety. However, it is typically prescribed for short-term use due to its potential for dependence.

C. Sertraline: Sertraline is a selective serotonin reuptake inhibitor (SSRI) used for chronic anxiety and depression, but it is not effective for acute episodic anxiety. SSRIs are typically prescribed for long-term management of anxiety disorders, rather than immediate symptom relief.

D. Buspirone: Buspirone is an anxiolytic medication used for generalized anxiety disorder (GAD) but has a delayed onset of action and is not effective for acute, episodic anxiety relief. It is more suitable for long-term management rather than immediate symptom control.

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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.

A. Schedule daily seclusion times. B. Provide a stimulating environment. C. Discourage daytime napping. D. Have consistent unit routines.

Correct Answer is D

Explanation

A. Seclusion should be avoided unless absolutely necessary for safety, as it may increase agitation in a manic client.

B. A stimulating environment could worsen mania, leading to increased agitation and impulsivity.

C. While maintaining a regular sleep-wake cycle is important, discouraging naps could increase irritability and fatigue, which may worsen manic symptoms.

D. Consistent routines help provide structure and security for clients in the manic phase, reducing confusion and promoting stability.

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A nursing student reports experiencing test-taking anxiety, including physical symptoms like a racing heart and trembling hands before exams. Which medication would the healthcare provider likely prescribe for episodic and acute symptom relief?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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