(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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Assist the client in challenging irrational thoughts.
Choice A rationale:
While medication may be a part of the treatment plan, the primary goal of establishing a therapeutic relationship is not to immediately prescribe medication. Building trust, rapport, and understanding the client's needs are initial priorities.
Choice B rationale:
Educating the client about relaxation techniques can be helpful, but the primary goal is to address the cognitive and emotional aspects of anxiety. Challenging irrational thoughts is a more central focus.
Choice C rationale:
The primary goal of establishing a therapeutic relationship with a client with anxiety disorder is to assist the client in challenging irrational thoughts. This involves identifying distorted thought patterns and helping the client reframe or replace these thoughts with more realistic and balanced ones.
Choice D rationale:
Developing measurable and realistic outcomes is an important aspect of the therapeutic process, but it is not the primary goal of establishing the therapeutic relationship. Measurable outcomes come after working through various therapeutic interventions.
Correct Answer is A
Explanation
"Tell me about your favorite hobbies."
Choice A rationale:
Asking about hobbies is a non-threatening way to initiate the assessment while building rapport. This choice encourages the client to discuss positive aspects of their life, potentially lowering anxiety levels.
Choice B rationale:
Suggesting avoidance might not be suitable for assessment. While avoidance might reduce immediate anxiety, it's not a healthy long-term coping mechanism. This statement overlooks the opportunity to explore healthier strategies.
Choice C rationale:
This open-ended question might be too probing for an initial assessment. It could make the client defensive or overwhelmed and might not yield comprehensive information about their anxiety and coping mechanisms.
Choice D rationale:
This statement invalidates the client's feelings and suggests that anxiety is insignificant. It fails to acknowledge the client's experiences and discourages open expression.
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