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: Command hallucinations directing harmful actions, like throwing a plate, indicate a severe psychotic state posing imminent danger to others. This meets criteria for emergency or involuntary admission to ensure safety and stabilize the mental illness, making this the correct choice.

Choice B reason: Staying in their room during outpatient therapy suggests withdrawal but not imminent danger. Outpatient settings allow autonomy, and this behavior does not warrant emergency admission unless accompanied by severe risk, making this choice incorrect for involuntary intervention.

Choice C reason: Requesting to speak with a nurse indicates engagement with care, not a crisis requiring emergency admission. It reflects a desire for support, not danger to self or others, making this choice inappropriate for involuntary hospitalization in mental health settings.

Choice D reason: Playing cards alone during group therapy suggests social withdrawal, not an acute crisis. This behavior does not indicate imminent danger or severe mental instability requiring emergency admission, making it incorrect compared to violent actions driven by hallucinations.

A. Orientation phase B. Working phase C. Termination phase D. Pre-group phase

Correct Answer is C

Explanation

Choice A reason: The orientation phase focuses on establishing group norms, trust, and goals, not addressing termination. Discussing endings at this stage could disrupt group cohesion and engagement, as members are building relationships, making this choice incorrect for introducing termination.

Choice B reason: The working phase emphasizes active therapeutic work, such as addressing conflicts and goals. Termination is not the focus, as members are engaged in processing issues. Introducing termination here could distract from ongoing work, making this choice incorrect.

Choice C reason: The termination phase is designed to address group closure, reviewing progress and preparing for separation. Discussing termination aligns with this phase’s focus on processing endings and transitioning, a key aspect of group therapy dynamics, making this the correct choice.

Choice D reason: The pre-group phase involves planning and recruitment, not therapeutic activities like addressing termination. This phase sets the stage for group formation, not closure, making it inappropriate for discussing termination, rendering this choice incorrect.

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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

Which individual diagnosed with a mental illness may require an emergency or involuntary admission?

Correct Answer is A

Explanation

In which phase of group therapy should the nurse plan to first address termination?

Correct Answer is C

Explanation

In which situations would a nurse have the duty to intervene and report? (Select all that apply)

The nurse administers a medication that potentiates the action of gamma-aminobutyric acid (GABA). Which effect would be expected?

Which therapeutic technique best communicates to a patient that the nurse is interested in listening?

A nurse uses Maslow's hierarchy of needs to plan care for a patient diagnosed with mental illness. Which problem will receive priority?

A fearful patient has an increased heart rate and blood pressure. The nurse suspects increased activity of which neurotransmitter?

A patient tells the nurse, "I don’t think I’ll ever get out of here." Select the nurse’s most therapeutic response.

Applying a bitter substance to the nails for people who tend to bite their nails is a form of which type of therapy?

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