An anxiolytic agent has been prescribed for the client. Which of the following statements by the client would indicate to the nurse that client education about this medication has been effective?

"I will probably always need to take this medication for my anxiety."

"This medication will relax me, so I can focus on problem solving."

"This medication presents no risk of addiction or dependence."

"My anxiety will be eliminated if I take this medication as prescribed."

Answer and Explanation

The Correct Answer is B

B. Anxiolytics are prescribed to reduce symptoms of anxiety, such as nervousness or restlessness, which can interfere with problem-solving and decision-making abilities. By alleviating anxiety symptoms, the medication can help the client focus more effectively on addressing underlying issues or stressors.

A. While anxiolytics can be effective in managing acute symptoms of anxiety, they are not typically intended for long-term use.

C. Many anxiolytic medications, particularly benzodiazepines, carry a risk of dependence and addiction if used improperly or for an extended period.

D. While anxiolytics can help alleviate symptoms of anxiety, they may not completely eliminate anxiety in all situations.

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Correct Answer is B

Explanation

B. This option promotes a calming and supportive environment that minimizes sensory stimuli and helps maintain orientation, reducing the risk of exacerbating symptoms of delirium and illusions.

A. Having the client sit by the nurse's desk may provide some supervision and reassurance, but keeping the television on can contribute to sensory overload and increase confusion, especially if the client is experiencing illusions.

C. Keeping the room shadowy with soft lighting and continuously playing a radio may create an environment that is disorienting and confusing for the client with delirium.

D. Maintaining bright lighting around the clock may disrupt the client's sleep-wake cycle and exacerbate symptoms of delirium. Interrupting the client's sleep by awakening hourly for mental status checks can also contribute to sleep deprivation and increase agitation and confusion

A. Explain that antidepressants often take several weeks to be fully effective. B. Tell the client that the provider will need to change fluoxetine to a different medication. C. Speak to the provider about adding an MAOI to the current medication regimen. D. Recommend a sleep study be done on the client.

Correct Answer is A

Explanation

A. Fluoxetine and other selective serotonin reuptake inhibitors (SSRIs) typically require several weeks of treatment before the full therapeutic effects are realized. Therefore, it's important for the nurse to reassure the client that it may take some time for the medication to alleviate depressive symptoms fully.

B. While lack of improvement in depressive symptoms after two weeks of fluoxetine treatment may be concerning, it's generally recommended to wait at least 4 to 6 weeks before considering changing or adjusting the antidepressant regimen.

C. Monoamine oxidase inhibitors (MAOIs) are another class of antidepressant medications that may be considered for treatment-resistant depression. However, MAOIs have significant dietary and medication restrictions and carry the risk of potentially serious drug interactions.

D. While sleep disturbances are common in major depressive disorder, recommending a sleep study as the first intervention for a client who is not responding to antidepressant treatment after only two weeks may not be the most appropriate action.

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An anxiolytic agent has been prescribed for the client. Which of the following statements by the client would indicate to the nurse that client education about this medication has been effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with delirium who is experiencing illusions. What environmental conditions should the nurse arrange for this client?

Correct Answer is B

Explanation

A nurse is caring for a client who has major depressive disorder and was prescribed fluoxetine 2 weeks ago. The client reports having an improved appetite, but still feels very depressed and is still having trouble sleeping. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

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