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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "My family will be better off without me" is an indirect or covert suicidal statement (passive ideation) that suggests the patient believes others would be better off if they were gone. Such remarks require immediate assessment of suicide risk (ask directly about thoughts, intent, plan, access to means) and appropriate safety interventions.
B. "Life is not worth living" is an explicit expression of hopelessness and indicates suicidal ideation, but it is more overt than covert. It still warrants urgent assessment, but the question asked specifically for the covert message.
C. "I wish I were dead" is a direct statement of suicidal desire (overt) rather than a covert hint.
D. "I have a plan that will fix everything" is the most concerning because it indicates a specific plan (high lethality risk), but it is overt rather than covert.
Correct Answer is D
Explanation
A. There is no indication that cultural bias is affecting interpretation; the focus is on the mismatch between verbal and nonverbal cues.
B. While the patient says they enjoy the interaction, their nonverbal behavior (fidgeting, covering face, looking under chair) suggests discomfort or anxiety, not purely positive feedback.
C. The behaviors described (fidgeting, covering face) do not indicate hallucinations or delusions typical of psychosis.
D. The patient verbally states enjoyment, but their body language suggests discomfort, anxiety, or internal conflict, indicating incongruence between words and actions.
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