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Drugs Used for Anxiety Disorders > Pharmacology
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Total Questions : 15
Showing 15 questions, Sign in for moreA nurse working in an emergency department is caring for a client who has benzodiazepine toxicity due to an overdose. Which of the following is the priority nursing action?
A nurse is caring for a client who is to begin taking escitalopram (Lexapro) for treatment of generalized anxiety disorder. Which of the following statements by the client indicates understanding of the use of this medication?
A nurse is providing teaching to a client who has a new prescription to start buspirone (BuSpar) in place of diazepam (Valium). The client has a history of panic disorder and cirrhosis of the liver. The client asks why his provider is making the medication change. Which of the following statements is an appropriate response by the nurse?
A nurse working in a mental health clinic is caring for a client who has obsessive-compulsive disorder and recently started a new prescription for buspirone (BuSpar). The client tells the nurse that the medication has not helped him sleep and that he is still having obsessive compulsions. Which of the following statements is an appropriate response by the nurse?
A nurse is caring for a client who takes paroxetine (Paxil) to treat posttraumatic stress disorder. The client states that he grinds his teeth during the night, which causes jaw pain. The nurse should identify which of the following as possible measures to manage the client’s bruxism? Select all that apply
The nurse should assess a client who is taking lorazepam (Ativan) for the development of which of these adverse effects?
A client is receiving temazepam (Restoril). Which of these responses should a nurse expect the client to have if the medication is achieving the desired effect?
A 32-year-old female client has been taking lorazepam (Ativan) for her anxiety and is brought into the emergency department after taking 30 days’ worth at one time. What antagonist for benzodiazepines may be used in this case?
A 17-year-old client has been prescribed escitalopram (Lexapro) for increasing anxiety uncontrolled by other treatment measures. Because of this client’s age, the nurse will ensure that the client and parents are taught what important information?
A client admitted to the mental health unit following a panic attack that lasted longer than 15 minutes was advised to come in for medication adjustment.
Identify the type of behavior the client may be exhibiting with each cue. Indicate with an X in the box that gives an example of the behavior.
Explanation
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Counts the number of steps that it takes to walk to the car |
Excessive and unrealistic worry about grades as a student |
Declines getting into the MRI machine, feeling too confined |
Suddenly feeling lightheaded and seeing spots, then fainting during a course examination |
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Phobic disorder |
X |
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Generalized anxiety disorder |
X |
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Obsessive-compulsive and related disorder |
X |
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Panic disorder |
X |
Anxiety disorders are a group of mental health conditions characterized by excessive fear, worry, or behavioral disturbances that impair daily functioning. Each type of anxiety disorder presents with specific behavioral patterns. Understanding these distinctions enables nurses to recognize symptoms, contribute to accurate diagnosis, and provide individualized care.
Rationale for correct answer:
The behaviors in this scenario reflect classic symptoms of different anxiety-related disorders:
- Obsessive-compulsive and related disorder (OCD): Counting steps repeatedly is a common compulsive behavior aimed at reducing anxiety from intrusive thoughts or obsessions.
- Generalized anxiety disorder (GAD): Excessive and persistent worry about everyday situations (such as academic performance) is a hallmark of GAD.
- Phobic disorder: Avoidance of specific triggers (e.g., small, enclosed spaces like an MRI machine) suggests a phobic response.
- Panic disorder: Sudden physical symptoms like dizziness, visual disturbances, and fainting without clear medical cause may reflect a panic attack, especially in anxiety-provoking settings (like an exam).
Take-home points:
- OCD involves repetitive behaviors (compulsions) such as counting or checking that serve to reduce anxiety from intrusive thoughts.
- GAD is marked by persistent and excessive worry about multiple aspects of life, often without a clear trigger.
- Phobic disorders feature irrational fears of specific objects or situations, leading to avoidance behavior (e.g., fear of enclosed spaces).
A nurse performing a baseline mental status assessment on the client in the scenario will include which of the following details? Select all that apply
The nurse will monitor which of these laboratory values to determine whether there are any adverse effects for the client in the scenario who is receiving a benzodiazepine for anxiety?
The nurse caring for the client in the scenario with an anxiety disorder knows that certain drugs can be used for treatment of anxiety disorders. Match the drug class used in the treatment of the specific anxiety disorder.
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DRUG CLASS USED FOR ANXIETY |
ANXIETY DISORDERS |
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Azaspirones |
GAD |
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Selective serotonin reuptake inhibitors |
Panic disorders |
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Benzodiazepines |
OCD |
|
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Phobias |
No explanation
After discussing with the client and the family the drug management of lorazepam (Ativan) for anxiety, the nurse knows further teaching is needed after the client makes which statement?
A client is prescribed lorazepam (Ativan). What does the nurse know to be true regarding lorazepam?
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