Nokea
One week ago, the client was prescribed Buspirone (Buspar) for anxiety. The client phones the office and reports the medication has not eliminated the symptoms. Which is the best response by the nurse?
- A. It may take up to 4 weeks for full therapeutic response.
- B. There are many other medications that can be offered.
- C. Buspar will not eliminate all symptoms associated with anxiety.
- D. Call back in one week if the symptoms continue.
Correct Answer: A
Rationale: Buspirone (Buspar) may take 2 to 4 weeks to produce desired effects. Clients should be provided this information at the time of initial administration. Changing to another medication would not be indicated at this time. Suggesting that the symptoms may not be eliminated is not indicated and should be avoided. Listening to and validating the client's concerns is a therapeutic measure.
You may also like to solve these questions
What is a true statement regarding a panic disorder?
- A. Slow onset of physical symptoms
- B. Lasts several minutes
- C. The first instinct is to escape to a safer place.
- D. Marked by hypotension and bradycardia
Correct Answer: C
Rationale: In panic disorder, the first instinct is to escape to a safer place. Episodes of panic may last minutes to less than 1 hour and then spontaneously subside. People who are affected experience an abrupt onset of physical symptoms and terror that include intense apprehension.
Clients with obsessive-compulsive disorder (OCD) may exhibit what sign or symptom?
- A. Fear of situations in which they may capture the attention of others
- B. Delayed anxiety response
- C. Psychic numbing
- D. Performing ritualistic behaviors
Correct Answer: D
Rationale: Clients with OCD may feel compelled to perform the same act repeatedly for a specific number of times or in a prescribed sequence and acknowledge performing ritualistic behaviors. Persons with social phobia experience fear of situations in which they may capture the attention of others. Post-traumatic stress disorder (PTSD) is a condition that involves a delayed anxiety response. Initially, the affected person avoids dealing with the tragedy and detaches from others using a technique that is referred to as psychic numbing.
Which provides the best data to support the diagnosis of anxiety disorder in clients of any age? Select all that apply.
- A. Magnetic resonance imaging (MRI)
- B. Computed tomography (CT scan)
- C. Presenting symptoms
- D. Client history
- E. Prescription list
- F. Over-the-counter medications
Correct Answer: C,D
Rationale: Diagnosing of most clients with anxiety disorders is based on presenting symptoms and client history. MRI and CT scans can be done to rule out brain pathology and other physiologic causes. Alcohol, prescription drugs, as well as over-the-counter drugs can alter findings or contribute to symptoms presented but are not the best data to base a diagnosis of anxiety disorder.
A client who is a nursing student reports increased anxiety with test iniziative. Which behavioral technique is most appropriate for this client to put into practice?
- A. Write 'I can do this' on an index card and place in view.
- B. Use breathing techniques to reduce anxiety.
- C. Use meditation prior to exams.
- D. Participate in a study group and prepare well before exams.
Correct Answer: B
Rationale: Behavioral therapy is used to coach a client to engage in some form of distraction or perform relaxation or breathing exercises to overcome symptoms. Teaching the student how to use breathing techniques can be helpful during stress-inducing exams. Writing 'I can do this' on a card is a form of cognitive therapy and provides positive thinking. Use of meditation can be helpful in the management of generalized anxiety but is not practical in a classroom setting. Studying and preparing for exams is expected but is not a behavioral technique that is helpful during test-taking events.
What is a side effect of beta-adrenergic blockers?
- A. Sedation
- B. Hyperglycemia
- C. Bradycardia
- D. Addiction
Correct Answer: C
Rationale: Major side effects of beta-adrenergic blocking agents include bradycardia and elevated blood glucose levels. They do not cause sedation, hyperglycemia, or addiction.