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)

Answer and Explanation

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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Correct Answer is D

Explanation

A. This is transference, where the patient projects feelings about another person onto the nurse.
B. Realistic, appropriate reactions suggest progress in the therapeutic relationship, not countertransference.
C. Developing trust is a goal in the nurse–patient relationship, not a problem.
D. Countertransference occurs when the nurse unconsciously transfers their own feelings to the patient, which can interfere with objectivity. Feeling unusually happy about the patient’s improvement signals the nurse’s personal emotional involvement beyond professional boundaries.

A. A man is extremely anxious about his problems and sometimes experiences dazed periods of several minutes passing without conscious awareness of them, B. A woman reports that when she feels tired or stressed, it seems like her body is not real and is somehow growing smaller. C. A woman finds unfamiliar clothes in her closet, is recognized when she goes to new restaurants, and complains of "blackouts" despite not drinking D. After being caught in an extramarital affair, a man disappeared but then reappeared months later with no memory of what occurred while he was missing

Correct Answer is D

Explanation

A. Extreme anxiety with brief dazed periods describes depersonalization or dissociative episodes, but not a fugue, because identity and travel are not involved.

B. Feeling like the body is unreal or shrinking is indicative of depersonalization-derealization disorder, not dissociative fugue.

C. Unfamiliar clothes and blackouts without alcohol may suggest dissociative identity disorder, as multiple identities or personality states are involved.

D. Dissociative fugue involves sudden, unexpected travel away from one’s home or workplace, inability to recall the past, and confusion about personal identity or assumption of a new identity. The scenario describes disappearance, travel, and memory loss consistent with dissociative fugue.

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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?

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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