A patient has acute anxiety related to an automobile accident 2 hours ago. The nurse should teach the patient about medication from which group?
Antipsychotic drugs
Benzodiazepines
Mood stabilizers
Tricyclic antidepressants
The Correct Answer is B
A. Antipsychotics are used for psychosis (e.g., schizophrenia, delusions, hallucinations), not for acute anxiety.
B. Benzodiazepines (e.g., lorazepam, diazepam, alprazolam) are the treatment of choice for acute anxiety or panic attacks because they act quickly (within minutes to hours) by enhancing GABA neurotransmission, providing rapid relief.
C. Mood stabilizers (e.g., lithium, valproate) are used in bipolar disorder, not for acute situational anxiety.
D. Tricyclic antidepressants (e.g., amitriptyline) are used for long-term management of depression and some anxiety disorders, but their onset is delayed (2–6 weeks), making them ineffective for acute anxiety.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. While communication may improve indirectly, the primary goal of stimulant therapy for ADHD is to reduce hyperactivity and impulsivity, not directly increase verbal expressiveness.
B. This may be a secondary benefit, but the main desired outcome is improved behavioral control during social interactions, particularly in play.
C. Stimulant medications like amphetamine salts help the child control impulsive behavior, reduce hyperactivity, and improve attention, allowing participation in cooperative play and structured activities.
D. Self-regulation skills develop with behavioral interventions and therapy, not directly from medication alone.
Correct Answer is D
Explanation
A. A busy family may experience stress, but this alone is not the greatest risk factor for abuse.
B. Multiple caregivers can sometimes create inconsistency in care, but it is not the primary factor.
C. Rural living may limit access to resources, but dementia itself poses a greater risk.
D. Dementia (especially Alzheimer’s disease) significantly increases vulnerability to abuse because of impaired memory, communication, and judgment, which limit the ability to report or stop mistreatment.
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