Term
| The client tells the nurse he worries about everything all day, feels confused, restless, and just can’t stop worrying. What is the best response by the nurse? |
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Definition
| You have generalized anxiety; I will teach you some relaxation techniques.” |
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Term
| The nurse has completed group education for clients with anxiety disorders. The education is evaluated as successful when the clients make which statements? Select all that apply. |
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Definition
1.“Antianxiety medicine should not be used indefinitely.”
2.“Relaxation techniques will often decrease anxiety.”
3.“We need therapy to learn where this anxiety comes from.” |
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Term
| 3 The client tells the nurse that she is interested in the human brain, and questions which parts of the brain control anxiety and insomnia. What is the best reply by the nurse? |
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Definition
| “The limbic system and reticular activating system.” |
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Term
| The client tells the nurse “I am really confused after talking to my doctor. He said I would be taking different kinds of medications for my anxiety and insomnia. Will you please explain it?” What is the best response by the nurse? Select all that apply. |
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Definition
1.“You will be taking medications known as sedative-hypnotics.”
2.“You will be taking medications known as benzodiazepines.”
5.“You will be taking medications known as antidepressants.” |
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Term
| The client has generalized anxiety disorder. He asks the nurse “Will I need medication for this? My neighbor is very nervous and he takes medication.” What is the best response by the nurse? |
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Definition
| “Medication is necessary when anxiety interferes with your quality of life.” |
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Term
| The client has been treated by the same physician for two years and has had insomnia the entire time. Many different medications have been tried with limited success. What should be the nurse’s primary assessment at this time? |
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Definition
| Assess for a primary sleep disorder such as sleep apnea. |
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Term
| The client is scheduled to have an EEG to confirm the presence of a sleep disorder. The client asks the nurse to describe Stage IV NREM sleep. What is the best response by the nurse? |
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Definition
| “This is the deepest stage of sleep; without it you will be tired and depressed.” |
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Term
| The client has been taking lorazepam (Ativan) for two years. The client stopped this medication after a neighbor said the drug manufacturer’s plant was contaminated with rat droppings. What best describes the nurse’s assessment of the client when seen three days after stopping his medication? |
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Definition
| Increased heart rate, fever, and muscle cramps. |
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Term
| The client comes to the emergency department after an overdose of lorazepam (Ativan). The nurse will plan to administer which medication? |
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Definition
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Term
| The nurse works with a physician who frequently prescribes benzodiazepines. The use of benzodiazepines in which client would cause the nurse the most concern? |
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Definition
| An 87-year-old client who uses a cane for ambulation. |
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Term
| The nurse has completed medication education for the anxious client who is receiving buspirone (BuSpar). The nurse determines that the client needs additional instruction when the client makes which statement? |
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Definition
| “I can take this medication when I feel anxious and it will relax me.” |
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Term
| The client is receiving zolpidem (Ambien) for treatment of short-term insomnia. What is the primary safety concern of the nurse when the client takes this medication? |
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Definition
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Term
| The client is receiving escitalopram (Lexapro) for treatment of generalized anxiety disorder. The client asks the nurse “I am just nervous, not depressed. Why am I taking an antidepressant medicine?” What is the best response by the nurse? |
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Definition
| “The same brain chemicals are involved with anxiety as well as depression, and these medications are very safe.” |
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Term
| The client has been receiving escitalopram (Lexapro) for treatment of obsessive-compulsive disorder. Unknown to the nurse, the client has also been self-medicating with St. John’s wort. The client comes to the office with symptoms of hyperthermia and diaphoresis. Which statement best describes the result of the nurse’s assessment? |
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Definition
| The client has combined two antidepressant medications and is experiencing serotonin syndrome. |
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Term
| The client is receiving clonazepam (Klonopin) for the treatment of panic attacks. What is an important medication outcome for this client as it relates to safety? |
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Definition
| The client will verbalize the consequences of stopping the drug abruptly. |
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Term
| An individual who has difficulty sleeping due to two final examinations scheduled for the same day later in the week most likely would be suffering from: |
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Definition
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Term
| The most productive way of managing stress would be to |
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Definition
| Determine the cause and address it accordingly. |
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Term
| Which area of the brain is primarily responsible for maintaining sleep and wakefulness? |
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Definition
| 1. Reticular activating system |
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Term
| Which drug category can be used for treating anxiety? |
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Definition
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Term
| Benzodiazepines are often the drug of choice for managing anxiety and insomnia. Which statement best explains why? |
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Definition
| 2. Benzodiazepines have the lowest risk of dependency and tolerance. |
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Term
| Which of the following common adverse effects of selective serotonin reuptake inhibitors (SSRIs) would be stressed by the nurse during patient discharge? |
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Definition
| 2. Weight gain and sexual dysfunction |
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Term
| Which sleep stage accounts for about one-half of total sleep? |
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Definition
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Term
| A patient taking which of the following medications should avoid foods high in tyramine? |
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Definition
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Term
| Which statement regarding the use of zolpidem (Ambien) for insomnia is accurate? |
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Definition
| Ambien will take longer to produce an effect when taken with food. |
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Term
| Which explanation best indicates why barbiturates are rarely used to treat anxiety and insomnia? |
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Definition
| They produce many serious adverse effects |
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