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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Zolpidem, a nonbenzodiazepine sedative, affects the central nervous system, causing sedation and impaired coordination, particularly in the elderly. Age-related declines in metabolism and balance increase fall risk, a critical nursing consideration. Monitoring mobility and ensuring safety measures are essential to prevent injuries, making this the correct choice.
Choice B reason: While zolpidem may cause daytime drowsiness, this is not the primary nursing consideration compared to fall risk in the elderly. Drowsiness is a general side effect, but the elderly’s heightened vulnerability to falls due to sedation and impaired coordination takes precedence, making this choice less critical.
Choice C reason: Zolpidem has a lower dependence risk than benzodiazepines, and dependence is not inevitable. This assumption overstates the risk and is not the primary nursing consideration. Fall prevention, especially in vulnerable populations like the elderly, is more urgent due to immediate safety concerns, making this choice incorrect.
Choice D reason: Zolpidem induces sedation rapidly, typically within 15–30 minutes, not requiring 4 weeks. This choice is factually incorrect, as prolonged use is not necessary for efficacy. The primary concern is immediate side effects like falls, not a delayed onset, making this an invalid nursing consideration.
Correct Answer is B
Explanation
Choice A reason: Living in a shelter for 2 years indicates survival but not necessarily resilience, which involves active adaptation and recovery. Prolonged displacement may reflect limited coping, making this choice less indicative of high resilience compared to maintaining relationships.
Choice B reason: Maintaining relationships after significant loss demonstrates resilience, reflecting emotional strength and adaptive coping. Social connections buffer stress and promote recovery, aligning with psychological resilience models, making this the correct choice for the highest resilience level.
Choice C reason: Becoming depressed after a spouse’s death is a normal grief response but indicates lower resilience, as it suggests difficulty adapting. Resilience involves recovering from adversity, not succumbing to depression, making this choice incorrect.
Choice D reason: Taking a temporary job shows problem-solving but is less indicative of resilience than maintaining relationships, which reflects emotional and social adaptation. Financial stability is one aspect, but relational resilience is broader, making this choice less optimal.
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