Lorazepam (Ativan) is prescribed for a client experiencing severe acute anxiety. Most important teaching should include instructions to:

avoid taking opioid medications and other sedatives.

report insomnia

eat a tyramine-free diet.

adjust dose and frequency based on your anxiety level.

Answer and Explanation

The Correct Answer is A

Lorazepam belongs to a class of drugs called benzodiazepines, which are central nervous system (CNS) depressants.

Taking other CNS depressants such as opioids or sedatives along with lorazepam can lead to increased sedation, respiratory depression, and other serious side eﬀects. It is crucial for patients to avoid these medications while taking lorazepam.

Reporting insomnia is important, but it is not the most critical teaching for this medication. Eating a tyramine-free diet is not relevant to lorazepam use.

Adjusting the dose and frequency based on anxiety level is not recommended as it can lead to misuse or dependence on the medication. It is important to take lorazepam only as prescribed by a healthcare provider.

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Correct Answer is ["A","E"]

Explanation

a. “I can see that you feel sad about this situation”.

e. “The loss of your parent should be very painful for you.”

These responses by the nurse show empathy and validate the patient’s feelings. They also encourage the patient to continue expressing their emotions and facilitate communication.

Option b. “Don’t be sad, everyone has to pass for something like this in the life” is not a helpful response

because it minimizes the patient’s feelings and may make them feel like their emotions are not valid.

Option c. “I felt very sad when my mother died, it was horrible!” is not a helpful response because it shifts the focus of the conversation away from the patient and onto the nurse’s personal experience.

Option d. “Let’s talk about something else. this subject is upsetting you, don’t worry about this” is not a helpful response because it dismisses the patient’s emotions and may make them feel like they are not allowed to express their feelings.

A. "Let's talk more about the diﬀerent forms of complementary therapies." B. "l really don't know, you need to ask your health care provider about it" C. "If I were you, I would try anything that I could if I had cancer." D. "No, because complementary therapies always interact with the chemotherapy."

Correct Answer is A

Explanation

This response acknowledges the client's interest in complementary therapies and opens up a conversation about the diﬀerent types available. It also allows the nurse to provide education and information about the potential benefits and risks of complementary therapies and how they may interact with the planned treatment.

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Lorazepam (Ativan) is prescribed for a client experiencing severe acute anxiety. Most important teaching should include instructions to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient cries as the nurse explores the patient's relationship with a deceased parent. The patient says, “I shouldn't be crying like this, it happened a long time ago.” Which responses by the nurse will facilitate communication? Select all that apply. Select one or more:

Correct Answer is ["A","E"]

Explanation

A client is diagnosed with cancer and is told that surgery followed by chemotherapy will be necessary. The client states to the nurse, "l have read a lot about complementary therapies. Do you think I should try any?" The nurse should respond by making which appropriate statement? Select one:

Correct Answer is A

Explanation

A psychiatric nurse is caring for a young adult client who says he is experiencing increased anxiety and an inability to concentrate. Which of the following responses should the nurse make?

A registered nurse is preparing a client who has chronic anxiety for discharge from the psychiatric unit. Which of the following instructions should the nurse include in the client's discharge plan?

A client is agitated and pacing in the hall near the nurses' station and swearing loudly. What response is the best for the registered nurse to provide? Select one:

A nurse is caring for a client who has been diagnosed with end-stage liver cancer. Which of the following responses is an indication the client is in the denial phase of the grief process?

The registered nurse is preparing for the termination phase of the nurse-client relationship. The registered nurse prepares to implement which nursing task that is most appropriate and most important for this phase? Select one:

A therapist recently convicted of multiple counts of Medicare fraud says, "Sure I overbilled. Why not? Takes advantage of the government, so I did too, it is not a problem." These statements show: Select one: