(Select all that apply): A nurse is educating a client with anxiety disorder about pharmacological treatments. Which of the following are examples of pharmacological treatments for anxiety disorders? Select all that apply.
Fluoxetine.
Alprazolam.
Propranolol.
Gabapentin.
Diphenhydramine.
Correct Answer : A,B,C,D
Choice A rationale:
Fluoxetine is an example of an SSRI (Selective Serotonin Reuptake Inhibitor), which is commonly prescribed for anxiety disorders and depression. It increases serotonin levels in the brain, helping to alleviate anxiety symptoms.
Choice B rationale:
Alprazolam is a benzodiazepine that enhances the effects of GABA, a neurotransmitter that reduces brain activity, leading to sedative and anxiolytic effects. It's used to treat anxiety disorders, although it can be habit-forming and is usually prescribed for short-term use.
Choice C rationale:
Propranolol is a beta-blocker that primarily treats hypertension and certain cardiac conditions, but it can also be used to manage the physical symptoms of anxiety, such as rapid heart rate and tremors.
Choice D rationale:
Gabapentin is not a first-line treatment for anxiety disorders, but it's sometimes used off-label to manage anxiety symptoms. It modulates the release of certain neurotransmitters, which can have a calming effect.
Choice E rationale:
Diphenhydramine is an antihistamine commonly used for allergies and as a sleep aid. It's not a standard pharmacological treatment for anxiety disorders.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D"]
Explanation
Choice A rationale:
Deep breathing is an appropriate relaxation technique for a client with anxiety disorder. It involves taking slow, deep breaths to activate the body's relaxation response. Deep breathing helps reduce the sympathetic nervous system's activity, leading to a calmer state. This technique is effective in lowering heart rate and blood pressure.
Choice D rationale:
Guided imagery is another suitable relaxation technique. It involves using mental visualization to create calming and peaceful images in the mind. Guided imagery can divert the client's attention away from stressors, promoting relaxation. This technique has been shown to reduce anxiety and promote a sense of well-being.
Choice B rationale:
Vigorous exercise is not typically recommended as a relaxation technique for individuals with anxiety disorder. While regular exercise has many benefits for mental health, intense exercise might actually increase physiological arousal and exacerbate anxiety symptoms.
Choice C rationale:
Hyperventilation is an inappropriate technique for relaxation. It involves rapid and shallow breathing, which can lead to an imbalance in oxygen and carbon dioxide levels, resulting in dizziness, tingling sensations, and increased anxiety. This technique is counterproductive and can trigger panic attacks.
Choice E rationale:
Critical thinking exercises are not commonly used as relaxation techniques. These exercises engage the mind in problem-solving activities, which might not be suitable for promoting immediate relaxation. Instead, the focus should be on techniques that calm the body and mind.
Correct Answer is C
Explanation
"Development of coping skills."
Choice A rationale:
Increased risk of depression is not a positive outcome of nursing interventions. The goal is to alleviate symptoms and improve the client's well-being, not to introduce new mental health challenges.
Choice B rationale:
Reduced adherence to medical treatment is a negative outcome. It suggests that the client's anxiety might be interfering with their ability to follow recommended treatments, which is undesirable.
Choice C rationale:
This is the correct choice. Developing coping skills is a positive outcome. It indicates that the client is learning effective ways to manage their anxiety, enhancing their overall quality of life.
Choice D rationale:
Impairment in personal domains is a negative outcome. Nursing interventions aim to improve functioning and minimize impairment, so this choice contradicts the therapeutic goals.
Generalized anxiety disorder (GAD)
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