Exam 35: Management of Anxiety Disorders

A patient who has been taking alprazolam [Xanax] to treat generalized anxiety disorder (GAD)reports recently stopping the medication after symptoms have improved but reports having feelings of panic and paranoia. Which initial action by the nurse is correct?

A patient describes feelings of anxiety and fear when speaking in front of an audience and is having difficulty at work because of an inability to present information at meetings three or four times each year. The patient is reluctant to take long-term medications. The nurse will expect the provider to order which treatment?

An agitated,extremely anxious patient is brought to the emergency department. The prescriber orders a benzodiazepine. The nurse understands that benzodiazepines are used in this clinical situation based on which principle?

A nurse is performing an admission assessment on a patient. The patient reports taking alprazolam [Xanax] for "nerves." The nurse knows that this patient is most likely being treated for which condition?

During an admission history,a patient reports a frequent need to return to a room multiple times to make sure an iron or other appliance is unplugged. What does the nurse understand about this patient's behavior?

A patient reports having occasional periods of tremors,palpitations,nausea,and a sense of fear,which usually dissipate within 30 minutes. To treat this condition,the nurse anticipates the provider will prescribe a drug in which drug class?

A patient who has obsessive-compulsive disorder (OCD)has been undergoing behavioral therapy but continues to exhibit symptoms that interfere with daily life. Which intervention will the nurse expect the provider to order for this patient?

Selective serotonin reuptake inhibitors are known to be effective for which disorders? (Select all that apply.)

A nurse is preparing a patient who will stop taking lorazepam [Ativan] for anxiety and begin taking buspirone [Buspar]. Which statement by the patient indicates a need for further teaching?

A patient is diagnosed with anxiety after describing symptoms of tension,poor concentration,and difficulty sleeping that have persisted for over 6 months. Which medication will the nurse expect the provider to order for this patient?