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 A
Explanation
A. This comment uses reflective communication to seek clarification and ensures the nurse accurately understands the patient’s concerns and feelings.
B. "Tell me everything from the beginning" may overwhelm the patient and does not specifically clarify understanding.
C. "Tell me again about your experiences" asks for repetition rather than clarification of understanding.
D. "What are the common elements here?" may be too abstract and analytical, making it difficult for the patient to respond effectively.
Correct Answer is C
Explanation
A. Respecting confidentiality is important, but the nurse has a legal and ethical duty to report child abuse, even if the patient discloses it in confidence.
B. Filing a report with the ethics committee does not fulfill the mandatory reporting requirement for child abuse.
C. The nurse must report suspected or disclosed child abuse to the appropriate child protection agency, even if the patient is now in rehabilitation. Anonymity may be used if allowed, but reporting is legally required.
D. Reassuring the patient about comfort in sharing does not address the immediate need to protect the child and fulfill mandatory reporting obligations.
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