ATI LPN
Psychiatric Nursing: Contemporary Practice 6th Edition
Chapter 25 : Anxiety Disorders: Management of Anxiety, Phobia, and Panic Questions
Question 1 of 5
A client with panic disorder who has been prescribed sertraline in conjunction with alprazolam comes to the clinic for a follow-up. The client states, I stopped taking the alprazolam about 2 days ago. I was feeling really sleepy and tired. Which of the following would alert the nurse to suspect possible withdrawal? Select all that apply.
Correct Answer: B,D
Rationale: Abrupt cessation of alprazolam, a benzodiazepine, can cause withdrawal symptoms like irritability (
B) and tremor (
D) due to central nervous system rebound. Metallic taste (
A), dry skin (
C), and muscle flaccidity (E) are not typical withdrawal symptoms.
Question 2 of 5
A group of students is reviewing information about the etiology of generalized anxiety disorder (GAD). The students demonstrate understanding of this information when they identify which of the following as representing the psychoanalytic theory for this disorder?
Correct Answer: D
Rationale: Psychoanalytic theory attributes GAD to unresolved unconscious conflicts (
D), such as repressed emotions from early experiences. Inaccurate danger assessment (
A) is cognitive, stressful events (
B) are environmental, and kindling (
C) is a neurobiological concept.
Question 3 of 5
A nurse is developing a teaching plan for a client with generalized anxiety disorder, focusing on nutrition. Which of the following would the nurse encourage the client to avoid? Select all that apply.
Correct Answer: A,B
Rationale: Coffee (
A) and ginseng (
B) are stimulants that can exacerbate anxiety symptoms in GAD. Milk products (
C), citrus juices (
D), and aged cheese (E) are not typically contraindicated unless specific sensitivities exist.
Question 4 of 5
A group of students is reviewing the signs and symptoms associated with anxiety. The students demonstrate an understanding of the information when they identify which of the following as cognitive symptoms? Select all that apply.
Correct Answer: B,C,E
Rationale: Cognitive symptoms of anxiety include feelings of unreality (
B), difficulty concentrating (
C), and apprehensiveness (E), reflecting mental processing disruptions. Edginess (
A) is emotional, tunnel vision (
D) is perceptual, and speech dysfluency (F) is behavioral.
Question 5 of 5
A client is diagnosed with generalized anxiety disorder and is prescribed medication therapy. Which agent would the nurse expect to administer to the client to obtain the quickest relief from anxiety symptoms?
Correct Answer: C
Rationale: Alprazolam (
C), a benzodiazepine, provides the fastest relief from anxiety symptoms due to its rapid onset. Buspirone (
A) and venlafaxine (
B) take weeks to be effective, and imipramine (
D), a TCA, is slower and less used for GAD.