Chapter 15 Drugs Used for Anxiety Disorders

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Chapter 15  Drugs Used for Anxiety Disorders

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

MULTIPLE CHOICE

1. What is the recommended time over which antianxiety medications must be gradually tapered before discontinuation?
a.
1 week
b.
1 month
c.
6 months
d.
1 year

ANS: B
Withdrawal from medication should be done under a health care provider’s supervision. Withdrawal usually takes 4 weeks and requires a gradual reduction in dosage and greater intervals between medication administrations. One week is an inadequate interval for cessation of antianxiety medication therapy. Six months to 1 year is much longer than necessary for cessation of antianxiety medication therapy.

DIF: Cognitive Level: Knowledge REF: Page 223 OBJ: 5
TOP: Nursing Process Step: Planning
MSC: NCLEX Client Needs Category: Psychosocial Integrity
NOT: CONCEPT(S): Clinical Judgment; Patient Education; Safety

2. Which is a benzodiazepine of choice when treating anxiety associated with alcohol withdrawal?
a.
Chlordiazepoxide (Librium)
b.
Oxazepam (Serax)
c.
Diazepam (Valium)
d.
Clorazepate (Tranxene)

ANS: B
Oxazepam and lorazepam are the drugs of choice in treating anxiety disorders because they have no active metabolites. Chlordiazepoxide and clorazepate are not the drugs of choice when treating anxiety associated with alcohol withdrawal. Diazepam has not been studied as fully as oxazepam in treating patients who have hepatic function impairment.

DIF: Cognitive Level: Knowledge REF: Page 223 OBJ: 1
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Psychosocial Integrity
NOT: CONCEPT(S): Clinical Judgment; Patient Education

3. Which is the drug of choice to treat a patient with obsessive compulsive disorder (OCD)?
a.
Lorazepam (Ativan)
b.
Buspirone (BuSpar)
c.
Fluvoxamine (Luvox)
d.
Hydroxyzine (Vistaril)

ANS: C
Fluvoxamine inhibits the reuptake of serotonin at the nerve endings, thus prolonging serotonin activity. Fluvoxamine is used for the treatment of OCD when the obsessions or compulsions cause marked distress or interfere substantially with social or occupational responsibilities. Fluvoxamine does not prevent the obsessions or compulsions; the therapeutic outcome of this drug is to assist the patient in his or her management. Lorazepam, buspirone, and hydroxyzine do not treat the symptoms of OCD.

DIF: Cognitive Level: Comprehension REF: Page 225 OBJ: 1
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Psychosocial Integrity
NOT: CONCEPT(S): Clinical Judgment; Patient Education

4. The outcome statement for a patient suffering from anxiety disorder reads, “After 1 week on alprazolam (Xanax) therapy, patient will exhibit a manageable level of anxiety.” Which assessment finding validates that this outcome is met?
a.
Patient is unable to participate in group therapy conversations.
b.
Patient reports persistent fear about dying of a rare illness.
c.
Patient verifies that family reunions trigger anxiety and excessive drinking.
d.
Patient reports sleeping better and increased interest in activities.

ANS: D
The primary therapeutic outcome expected from benzodiazepine antianxiety agents is a decrease in the level of anxiety to a manageable level. Physical signs of anxiety have decreased, and coping is improved. Being unable to participate in group therapy, persistent fears, and choosing inappropriate coping mechanisms for noncatastrophic events indicate that the anxiety is not manageable.

DIF: Cognitive Level: Application REF: Page 223 OBJ: 3
TOP: Nursing Process Step: Evaluation
MSC: NCLEX Client Needs Category: Psychosocial Integrity
NOT: CONCEPT(S): Clinical Judgment; Patient Education

5. Which is true regarding psychological drug dependence?
a.
It is easier to treat than physiological dependence.
b.
It is not considered a true addiction.
c.
It is easily controlled by influencing the patient’s perceptions.
d.
It requires medical intervention to treat.

ANS: D
Medical intervention is required to treat psychological drug dependence. Psychological addictions are often more difficult to overcome than physiological addictions. Psychological drug dependence can be very difficult to treat.

DIF: Cognitive Level: Comprehension REF: Page 223 OBJ: 5
TOP: Nursing Process Step: Planning
MSC: NCLEX Client Needs Category: Psychological Integrity
NOT: CONCEPT(S): Clinical Judgment; Patient Education

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