Nokea
A client with generalized anxiety disorder is being taught about buspirone (BuSpar) by a nurse. Which statement by the client indicates a need for further teaching?
- A. I should take this medication on an empty stomach.
- B. It may take several weeks before I feel better.
- C. This medication does not cause dependence.
- D. I can drink alcohol while taking this medication.
Correct Answer: D
Rationale: The statement 'I can drink alcohol while taking this medication' (D) indicates a need for further teaching. Clients should avoid alcohol while taking buspirone because it can increase the risk of side effects such as dizziness and drowsiness. Choices A, B, and C are correct statements regarding buspirone and do not require further teaching.
You may also like to solve these questions
Which information should the LPN/LVN exclude in the nursing plan of care for a client with obsessive-compulsive disorder (OCD)?
- A. The medical diagnosis of the client
- B. Individualized goals and objectives
- C. Attendance at group therapy sessions
- D. Self-care measures to improve hygiene
Correct Answer: A
Rationale: The correct answer is A because including the medical diagnosis of the client in the nursing plan is redundant as the healthcare team is already aware of the diagnosis. The nursing plan of care for a client with OCD should focus on individualized goals, objectives, attendance at group therapy sessions, and self-care measures to improve hygiene. These components directly contribute to addressing the client's needs and promoting recovery. Therefore, the medical diagnosis does not need to be included in the nursing plan as it does not actively guide the day-to-day care and interventions for the client.
The LPN/LVN is caring for a client with post-traumatic stress disorder (PTSD). Which intervention is most appropriate for the nurse to implement?
- A. Encourage the client to talk about the traumatic event.
- B. Assist the client in developing coping strategies.
- C. Refer the client to a PTSD support group.
- D. Administer prescribed medications to manage symptoms.
Correct Answer: B
Rationale: Assisting the client in developing coping strategies is an appropriate intervention for managing PTSD. This approach helps the client build resilience and learn how to effectively cope with symptoms. Choice A, encouraging the client to talk about the traumatic event, may not be appropriate as it can potentially re-traumatize the client. Referring the client to a PTSD support group, as in choice C, can be beneficial but may not be the most immediate intervention. Administering medications, as in choice D, is important in some cases, but focusing on coping strategies should be prioritized as a holistic approach to managing PTSD.
A client with obsessive-compulsive disorder (OCD) spends several hours a day washing his hands. What is the best nursing intervention?
- A. Restrict the client's access to soap and water.
- B. Encourage the client to discuss their compulsions.
- C. Allow the client to continue the behavior until ready to stop.
- D. Schedule activities that distract the client from hand-washing.
Correct Answer: B
Rationale: Encouraging the client to discuss their compulsions is the best nursing intervention when caring for a client with OCD who spends excessive time on hand-washing. This approach can help the client identify underlying anxieties and triggers associated with the compulsive behavior. Restricting access to soap and water (Choice A) can lead to increased anxiety and worsen the obsession. Allowing the client to continue the behavior (Choice C) can perpetuate the compulsive cycle. Scheduling distracting activities (Choice D) may provide temporary relief but does not address the root cause of the behavior.
A client with schizophrenia is being discharged with a prescription for risperidone (Risperdal). What is the most important instruction for the nurse to provide?
- A. Stop taking the medication if you start feeling better.
- B. Be aware of the potential for weight gain with this medication.
- C. Report any unusual muscle movements immediately.
- D. You can drive as soon as you feel ready.
Correct Answer: C
Rationale: The correct answer is C: "Report any unusual muscle movements immediately." Unusual muscle movements may indicate extrapyramidal symptoms (EPS) or tardive dyskinesia, which are serious side effects of antipsychotic medications like risperidone. It is crucial to address these symptoms promptly to prevent long-term effects. Choice A is incorrect because stopping the medication suddenly can be dangerous and should only be done under medical supervision. Choice B, while important, is not the most critical instruction in this scenario. Choice D is also incorrect as the ability to drive may be affected by the medication and should be discussed with a healthcare provider.
A client with generalized anxiety disorder (GAD) is prescribed buspirone (BuSpar). The client asks how long it will take for the medication to start working. What is the nurse's best response?
- A. You should start feeling better within a few days.
- B. It may take 2 to 4 weeks before you notice an improvement.
- C. Buspirone works immediately to reduce anxiety symptoms.
- D. You will need to take this medication for at least a year.
Correct Answer: B
Rationale: The correct answer is B. Buspirone typically takes 2 to 4 weeks to become fully effective. It is essential to inform the client that it may take some time before they notice an improvement. Choice A is incorrect because buspirone does not work immediately. Choice C is also incorrect as buspirone does not provide immediate relief. Choice D is incorrect as it suggests a longer duration of treatment than necessary.