The nurse is aware that all the following pharmacological agents are useful in treating anxiety disorders except:
Benzodiazepines
SSRIs
Tricyclic antidepressants
Calcium channel blockers
The Correct Answer is D
A. Benzodiazepines: Benzodiazepines are commonly prescribed for short-term management of anxiety disorders due to their rapid anxiolytic effects.
B. SSRIs: Selective serotonin reuptake inhibitors (SSRIs) are frequently used as first-line treatment for various anxiety disorders due to their efficacy and favorable side effect profile.
C. Tricyclic antidepressants: Tricyclic antidepressants (TCAs) are also used in the treatment of anxiety disorders, although they are less commonly prescribed than SSRIs due to their side effect profile.
D. Calcium channel blockers: Calcium channel blockers are not typically used to treat anxiety disorders. They are mainly used for cardiovascular conditions, such as hypertension and arrhythmias.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Generalized anxiety disorder: Generalized anxiety disorder involves persistent and excessive worry, but it does not typically present with the specific symptoms of nightmares and flashbacks related to trauma.
B. Posttraumatic stress disorder: PTSD is characterized by symptoms such as nightmares, flashbacks, and difficulty sleeping, especially following exposure to traumatic events. This fits the soldier’s presentation.
C. Obsessive-compulsive disorder: OCD involves recurrent, intrusive thoughts (obsessions) and/or repetitive behaviors (compulsions). The symptoms described do not align with OCD but rather with trauma-related symptoms.
D. Social phobia: Social phobia involves intense fear of social situations, not the trauma-related symptoms described. It is less relevant to the soldier’s experience of nightmares and flashbacks.
Correct Answer is D
Explanation
A. "Are you frightened?" This response is empathetic but may inadvertently reinforce the client's delusional thinking by focusing on the fear rather than addressing the delusion.
B. "You know I'm not following you." This response directly challenges the client's delusion, which could provoke defensiveness and escalate the situation.
C. "You'll have to go into seclusion if you continue to threaten me." This response is confrontational and may escalate the situation further by implying a threat, which could increase the client's fear and anger.
D. "I'm sorry if I frightened you. I was returning to the nurses' station after going out for lunch." This response acknowledges the client's feelings without reinforcing the delusion and provides a simple, non-threatening explanation for the nurse's actions. It helps de-escalate the situation by maintaining a calm, non-confrontational tone.
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