The nurse is preparing a client for discharge who has been taking alprazolam long-term for generalized anxiety disorder (GAD). When evaluating the client's grasp of the discharge teaching, which statement made by the client shows an understanding of the most important self-care goal?

It is essential not to abruptly discontinue taking the medication.

I should report any dizziness, lightheadedness, or sedation.

Attending individual and group therapy sessions is important.

I can report any decrease in anxiety using the 10 point scale.

Answer and Explanation

The Correct Answer is A

Choice A rationale: Abrupt discontinuation of alprazolam, a benzodiazepine used to treat anxiety disorders, can lead to withdrawal symptoms, including rebound anxiety,

insomnia, and potentially seizures. The statement reflects an understanding of the importance of gradual tapering and not abruptly stopping the medication. Choice B rationale: Reporting side effects such as dizziness, lightheadedness, or sedation is important, but the key focus for long-term benzodiazepine use is the need to avoid abrupt discontinuation.

Choice C rationale: While attending therapy sessions is beneficial for managing anxiety, the question is specifically addressing the self-care goal related to medication use. Choice D rationale: Reporting any decrease in anxiety using a 10-point scale is relevant but not as crucial as emphasizing the avoidance of abrupt discontinuation.

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Correct Answer is A

Explanation

Choice A rationale: Providing information about available community resources is crucial during the discharge phase to support the client's transition to the community and ongoing care.

Choice B rationale: Exploring the client's feelings related to discharge is important, but providing practical information about available resources is more immediate and can aid in the client's continuity of care.

Choice C rationale: Asking the client to describe alternative coping mechanisms is relevant, but connecting the client with community resources is a more immediate concern during the discharge phase.

Choice D rationale: Discussing potential medication side effects is important, but linking the client to community resources takes precedence during the discharge process.

A. Tell the client they are out of control. B. Stay quietly with the client. C. Distract the client by offering finger foods. D. Ignore the client's acting out behavior.

Correct Answer is B

Explanation

Choice A rationale: Telling the client they are out of control may escalate the situation and provoke further aggression. It is not a therapeutic or de-escalation technique.

Choice B rationale: Staying quietly with the client is a calm and non-confrontational approach. It allows the client to express emotions while conveying a supportive presence.

Choice C rationale: Distracting the client by offering finger foods may not be appropriate during a shouting episode, as it may be perceived as dismissive of the client's feelings or concerns.

Choice D rationale: Ignoring the client's acting-out behavior is not the best option. The nurse should acknowledge the client's emotions and provide support rather than ignoring the distress.

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The nurse is preparing a client for discharge who has been taking alprazolam long-term for generalized anxiety disorder (GAD). When evaluating the client's grasp of the discharge teaching, which statement made by the client shows an understanding of the most important self-care goal?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A young woman is preparing to be discharged from the psychiatric unit. Which nursing intervention is most important for the nurse to Include in this phase of the nurse-client relationship?

Correct Answer is A

Explanation

A client admitted to the mental health unit starts to shout and scream at the nurse. Which approach is best for the nurse to take?

Correct Answer is B

Explanation

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