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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Chemical agents: Chemical agents (e.g., tobacco smoke, asbestos) are significant carcinogens but are not the most influential across all types of cancer.
B. Environmental factors: Environmental factors, including exposure to radiation, chemicals, and lifestyle choices, have a broad impact on cancer development. This is the most comprehensive factor, as it encompasses various elements that contribute to cancer risk.
C. Viruses: Certain viruses (e.g., HPV, Hepatitis B) are linked to specific cancers, but they are not the primary cause of most cancers.
D. Defective genes: Genetic mutations play a critical role in cancer development, but they are often triggered by environmental factors, making environmental factors the most significant overall.
Correct Answer is D
Explanation
A. Elevate the head of the bed: Elevating the head of the bed is not the priority during a seizure. The primary concern is ensuring the client's safety by preventing injury.
B. Restrain the client's arms and legs: Restraining a client during a seizure is not advised, as it can cause injury. Instead, the focus should be on protecting the client from harm.
C. Place a tongue blade in the client's mouth: Placing anything in the client’s mouth during a seizure is contraindicated, as it can lead to airway obstruction or injury.
D. Take measures to prevent injury: The priority during a seizure is to protect the client from injury by ensuring a safe environment, such as padding the head and moving any dangerous objects away.
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