A patient experiences a sudden episode of severe anxiety. Which medication would be the expected drug to be given to help with the sudden episode of severe anxiety?
Lorazepam (Ativan)
Amitriptyline (Elavil)
Buspirone (Buspar)
Desipramine (Norpramin)
The Correct Answer is A
A. Lorazepam is a benzodiazepine that acts quickly to relieve acute anxiety, making it the medication of choice for sudden episodes of severe anxiety.
B. Amitriptyline is a tricyclic antidepressant used for long-term management of depression and anxiety, not for rapid relief of acute anxiety.
C. Buspirone is an anxiolytic effective for chronic anxiety but has a delayed onset of action and is not effective for sudden episodes.
D. Desipramine is a tricyclic antidepressant primarily used for depression and certain chronic anxiety disorders, not for immediate relief of severe anxiety.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "I hate all of you!" –This reflects the patient’s anger and hostility, which is expected after being restrained. While it requires therapeutic communication, it does not signal a medical emergency.
B. "The other patient started the fight." – This statement is defensive and attempts to shift blame. Although it provides insight into the patient’s thought process, it is not urgent from a physiological standpoint.
C. "You wait until I tell my lawyer." – This reflects frustration and a threat of legal action. It is important for documentation and de-escalation but does not require immediate clinical intervention.
D. "My fingers are tingly." – This is the highest priority because it indicates impaired circulation or nerve compression related to the restraints. Tingling, numbness, coolness, or pallor are warning signs that restraints are too tight or causing neurovascular compromise. This can lead to permanent injury if not corrected promptly.
Correct Answer is B
Explanation
A. Intervening when a self-mutilating patient attempts to harm self reflects beneficence and nonmaleficence, prioritizing safety rather than autonomy.
B. Supporting the patient to explore alternatives and make their own choice directly respects and promotes the ethical principle of autonomy.
C. Staying with a patient demonstrating a high level of anxiety demonstrates beneficence by providing support, not autonomy.
D. Suggesting restrictions for patients who were fighting reflects justice or safety measures, not the patient’s personal decision-making.
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