A patient has acute anxiety related to a car accident. The nurse knows the patient will need teaching about which medication category?

Mood stabilizers

Antidepressants

Antipsychotics

Anxiolytics

Answer and Explanation

The Correct Answer is D

Choice A reason: Mood stabilizers, like lithium, are used for bipolar disorder to regulate mood swings, not for acute anxiety. They target long-term mood stabilization, not immediate symptom relief, which is critical for post-traumatic anxiety, making this category inappropriate for the patient’s condition.

Choice B reason: Antidepressants, such as SSRIs, treat depression and chronic anxiety over weeks, not acute anxiety. Their delayed onset makes them unsuitable for immediate relief following a traumatic event like a car accident, where rapid symptom management is needed, making this choice incorrect.

Choice C reason: Antipsychotics treat psychosis or severe agitation, not primary anxiety. Their use in anxiety is off-label and typically reserved for cases unresponsive to anxiolytics, with higher side effect risks. This makes them inappropriate for acute anxiety management, rendering this choice incorrect.

Choice D reason: Anxiolytics, like benzodiazepines, provide rapid relief for acute anxiety by enhancing GABA activity, calming the central nervous system. They are the primary choice for short-term management of anxiety post-trauma, aligning with clinical guidelines, making this the correct medication category for patient teaching.

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Correct Answer is A

Explanation

Choice A reason: In Peplau’s orientation phase, the nurse establishes trust, fosters collaboration, and sets boundaries to build a therapeutic relationship. This foundation is critical for patients with psychiatric disorders, ensuring a safe space for engagement, making this the correct choice.

Choice B reason: Medication adherence is a clinical intervention addressed later, in the working phase, not orientation. The initial phase focuses on relationship-building, not specific treatments, making this choice incorrect for the orientation phase’s goals.

Choice C reason: Coping skill development occurs in the working phase, after trust is established. Orientation prioritizes relationship foundations like trust and boundaries, not skill-building, making this choice incorrect for the initial nurse-patient interaction phase.

Choice D reason: Long-term goals are addressed in the working or termination phases, not orientation, which focuses on establishing trust and rapport. Setting goals prematurely may hinder relationship-building, making this choice incorrect for the orientation phase.

A. Clozapine B. Lithium C. Fluoxetine D. Venlafaxine

Correct Answer is B

Explanation

Choice A reason: Clozapine, an antipsychotic, primarily causes agranulocytosis and metabolic issues, not fluid or electrolyte imbalances. Its effects on the central nervous system and bone marrow do not directly disrupt electrolyte homeostasis, making this choice incorrect for this concern.

Choice B reason: Lithium, a mood stabilizer, affects renal function, impairing sodium and water reabsorption, leading to potential hyponatremia or dehydration. This requires close monitoring of electrolytes, as imbalances can cause toxicity, making this the correct choice for heightened alertness.

Choice C reason: Fluoxetine, an SSRI, primarily affects serotonin levels, with minimal impact on fluid or electrolyte balance. Side effects like nausea do not significantly disrupt electrolytes, making this choice incorrect compared to lithium’s known renal effects.

Choice D reason: Venlafaxine, an SNRI, influences serotonin and norepinephrine but does not significantly affect fluid or electrolyte balance. Its side effects, like hypertension, are unrelated to electrolyte homeostasis, making this choice incorrect for this specific concern.

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A patient has acute anxiety related to a car accident. The nurse knows the patient will need teaching about which medication category?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Hildegard Peplau came up with the phases of the nurse-patient relationship. What does the nurse address during the orientation phase with a patient diagnosed with a psychiatric disorder?

Correct Answer is A

Explanation

A nurse is caring for patients receiving clozapine, lithium, fluoxetine, and venlafaxine. Which patient should the nurse be most alert for problems associated with fluid and electrolyte imbalance?

Correct Answer is B

Explanation

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