Which of the following clients is most likely to be at risk for drug dependence and difficulties with withdrawal?

A client who has recently begun treatment with propanolol (Inderal) for the treatment of social phobia.

A woman who has been taking lorazepam (Ativan) for several months after witnessing a traumatic motor vehicle accident.

A man whose obsessive-compulsive disorder (OCD) is being treated long-term with paroxetine (Paxil)

A client with generalized anxiety disorder who has responded well since beginning treatment with fluoxetine (Prozac) earlier in the year.

Answer and Explanation

The Correct Answer is B

A. A client who has recently begun treatment with propranolol (Inderal) for the treatment of social phobia. Propranolol, a beta-blocker, does not have a significant risk for dependence or withdrawal symptoms. It is primarily used for physical symptoms of anxiety, such as tachycardia.

B. A woman who has been taking lorazepam (Ativan) for several months after witnessing a traumatic motor vehicle accident. Lorazepam is a benzodiazepine, which has a high potential for dependence and withdrawal, especially with long-term use. This client is the most at risk for these issues.

C. A man whose obsessive-compulsive disorder (OCD) is being treated long-term with paroxetine (Paxil). While discontinuation symptoms can occur with SSRIs like paroxetine, the risk of dependence is significantly lower than with benzodiazepines.

D. A client with generalized anxiety disorder who has responded well since beginning treatment with fluoxetine (Prozac) earlier in the year. Like paroxetine, fluoxetine is an SSRI, and while discontinuation symptoms may occur, the risk of dependence is low.

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Correct Answer is B

Explanation

A. Dental procedures: Fear of dental procedures is more indicative of a specific phobia, not social phobia.

B. Meeting strangers: Social phobia (social anxiety disorder) involves intense fear and anxiety in social situations where one might be judged, embarrassed, or scrutinized by others. Meeting strangers is a common fear for those with social phobia.

C. Being bitten by a dog: This is more consistent with a specific phobia related to animals, not social phobia.

D. Having a car accident: Fear of car accidents is not typically related to social phobia but could be linked to a specific or generalized anxiety disorder.

A. Asian men B. White women C. Native American men D. African American women

Correct Answer is D

Explanation

A. Asian men: SLE is less common in men and even less common among Asian men.

B. White women: White women are at risk, but SLE is more prevalent among women of African descent.

C. Native American men: SLE is more common in women, and while Native Americans have a higher risk compared to some other groups, African American women have the highest prevalence.

D. African American women: This group has the highest risk for developing SLE. The disease is more common and severe in African American women compared to other demographics.

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Which of the following clients is most likely to be at risk for drug dependence and difficulties with withdrawal?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Clients with a social phobia would most likely fear which situation?

Correct Answer is B

Explanation

A nurse is assisting in preparing a presentation at a community center about systemic lupus erythematosus (SLE). The nurse should identify which of the following groups as having the highest risk for developing this disorder?

Correct Answer is D

Explanation

A patient's medication regimen for treatment of anxiety has been changed from a benzodiazepine to buspirone (BuSpar). The patient asks the nurse what makes this medication safer than the benzodiazepine he has taken. What is the nurse's best response?

A client has lived independently prior to being admitted to an inpatient unit. The client will be unable to return home following discharge. Which environment would be most appropriate for the client?

A soldier has been back from Iraq for two weeks. He is being seen in the outpatient mental health clinic due to complaints of inability to sleep, nightmares, and flashbacks. The nurse would expect the client to be diagnosed with which of the following?

A 70-year-old woman is being treated at home for Parkinson's disease (PD), a health problem that she was diagnosed with 18 months ago. The nurse who is participating in the woman's care should be aware that her initial symptoms most likely consisted of:

As a nurse approaches the nurses' station, a client diagnosed with a delusional disorder raises his voice and says, "You're following me. What do you want?" To prevent escalating fear and anger, the nurse takes a nonthreatening posture and makes which response in a calm voice?

A nurse suspects that a client is experiencing alcohol withdrawal based on assessment of which of the following?

The nurse is caring for a client who is being treated in the emergency department for a panic attack. Which of the following nursing interventions would be most appropriate?