A nurse is developing the plan of care for a client with panic disorder that will include pharmacologic therapy. Which of the following would the nurse most likely expect to administer?

Correct Answer: B

Rationale: Step-by-step rationale: 1. Panic disorder is typically treated with SSRIs due to their effectiveness in reducing anxiety symptoms. 2. SSRIs are considered first-line treatment for panic disorder. 3. SSRIs work by increasing serotonin levels in the brain, helping to regulate mood and reduce anxiety. 4. Benzodiazepines are often used for acute anxiety relief but are not recommended for long-term use due to the risk of dependence. 5. MAOIs and TCAs are less commonly used for panic disorder due to their potential side effects and interactions with other medications. Summary: The correct answer is B (SSRI) because it is the most effective and safe choice for treating panic disorder long-term. Choices A, C, and D are less preferred due to their limitations and potential risks in the management of panic disorder.

Correct Answer: B

Rationale: Step-by-step rationale: 1. Panic disorder is typically treated with SSRIs due to their effectiveness in reducing anxiety symptoms. 2. SSRIs are considered first-line treatment for panic disorder. 3. SSRIs work by increasing serotonin levels in the brain, helping to regulate mood and reduce anxiety. 4. Benzodiazepines are often used for acute anxiety relief but are not recommended for long-term use due to the risk of dependence. 5. MAOIs and TCAs are less commonly used for panic disorder due to their potential side effects and interactions with other medications. Summary: The correct answer is B (SSRI) because it is the most effective and safe choice for treating panic disorder long-term. Choices A, C, and D are less preferred due to their limitations and potential risks in the management of panic disorder.

Correct Answer: C

Rationale: The correct answer is C because the retiree volunteering at the library aligns with the psychosocial role theory, which emphasizes the importance of maintaining social roles and engagement in later life for healthy aging. Volunteering promotes social interaction, sense of purpose, and contribution to society, leading to better mental and emotional well-being. Choices A, B, and D focus on physical health or coping with illness, which are important aspects of aging but do not solely represent healthy adjustment to aging according to psychosocial role theory.

Correct Answer: B

Rationale: The correct answer is B: New members are added by birth, marriage, or adoption. This is because families are not solely defined by blood relations but also by relationships formed through birth, marriage, or adoption. This inclusive definition reflects the diverse structures of modern families. Choice A is incorrect as it limits the definition of families to blood relations only. Choice C is incorrect as family size trends vary and may not necessarily be increasing in the United States. Choice D is incorrect as families today are often more mobile due to various factors such as job opportunities and lifestyle choices.

Correct Answer: C

Rationale: The correct answer is C because a client with chronic kidney disease and cloudy diasylate outflow may indicate peritonitis, a serious complication requiring immediate assessment and intervention. Cloudy dialysate outflow can be a sign of infection or peritonitis, which can lead to sepsis if not addressed promptly. Assessing this client first allows for early detection and treatment of potential life-threatening complications. Choices A, B, and D do not present immediate life-threatening conditions and can be assessed after ensuring the client with chronic kidney disease is stable.

Correct Answer: D

Rationale: The correct answer is D because it reflects self-actualization by showing an appreciation for simple pleasures and being in touch with nature, indicating a sense of fulfillment and inner peace. Choice A focuses on external factors, choice B relies on a plan for validation, and choice C emphasizes success through hard work, all of which are not necessarily indicative of self-actualization.

Correct Answer: C

Rationale: The correct answer is C: Antidepressants. Antidepressants are commonly used to treat anxiety and anxiety disorders due to their ability to regulate neurotransmitters like serotonin and norepinephrine, which play a role in mood regulation. They are effective in managing symptoms of anxiety over the long term. Antipsychotics (A) are not typically the first-line treatment for anxiety and are more commonly used for psychotic disorders. Mood stabilizers (B) are primarily used for conditions like bipolar disorder, not anxiety. Cholinesterase inhibitors (D) are used for conditions like Alzheimer's disease, not anxiety disorders.

Correct Answer: D

Rationale: Rationale: 1. Power rapists target victims near their age to exert control. 2. They use minimal physical force and intimidation. 3. This control dynamic is central to the perpetrator's gratification. 4. The focus is on dominance and control, not sadistic pleasure like in A. 5. They do not specifically target very young or elderly victims as in B. 6. While victim injury can occur, it is not a defining characteristic as in C. Summary: Choice D is correct as power rapists target victims near their age and use minimal force for control. Choices A, B, and C are incorrect as they do not align with the characteristics of power rapists.

Correct Answer: D

Rationale: The correct answer is D because expressing a desire to hurt someone is a red flag for potential harm to self or others. This statement indicates a risk of violent behavior and immediate attention is needed to ensure safety. Statements A, B, and C are not immediate concerns as they do not suggest immediate harm or danger. A: Grief over a past event, B: Medication compliance, and C: Issues with parental relationships are important but do not pose an immediate threat.