Which medication class does not affect serotonin?

Correct Answer: A

Rationale: Correct Answer: A (Benzodiazepines) Rationale: 1. Benzodiazepines work on GABA receptors, not serotonin receptors. 2. MOAIs inhibit serotonin breakdown. 3. SSRIs block serotonin reuptake. 4. Tricyclic antidepressants increase serotonin levels. Summary: Benzodiazepines do not directly affect serotonin like the other medication classes. MOAIs, SSRIs, and tricyclic antidepressants all modulate serotonin levels in the brain.

Correct Answer: D

Rationale: The correct answer is D, as playacting as a police officer and causing fear in other children could be a potential symptom of traumatization. This behavior may stem from experiencing or witnessing traumatic events, leading the child to reenact them to make sense of their feelings and gain a sense of control. The child may be processing feelings of powerlessness or fear related to trauma through this play. A: The need to dominate others - While the behavior may involve exerting control, it is more likely a coping mechanism for trauma rather than a desire to dominate. B: Inventing traumatic events - There is no indication that the child is inventing traumatic events; rather, the behavior suggests a response to real trauma. C: A need to develop close relationships - The behavior is not indicative of seeking close relationships but rather a way of expressing distress and trying to make sense of traumatic experiences.

Correct Answer: B

Rationale: The correct answer is B: Administering anti-anxiety medication as prescribed. This option is the most appropriate because severe anxiety may require pharmacological intervention to quickly alleviate symptoms and provide relief. Anti-anxiety medication can help regulate neurotransmitters and reduce overwhelming anxiety. Choice A is incorrect as immediate confrontation of fears may exacerbate anxiety symptoms. Choice C is incorrect as simply telling a patient to calm down may not effectively address severe anxiety. Choice D is incorrect as distraction through conversation and humor may not be sufficient for severe anxiety and may not address the underlying issue. In summary, pharmacological intervention is the most effective and immediate approach for managing severe anxiety.

Correct Answer: B

Rationale: The correct answer is B because engaging the patient in a discussion about the benefits of the medications and addressing their concerns is the most appropriate action. This approach promotes patient-centered care, helps to understand the reasons for non-compliance, and allows for collaborative problem-solving. It fosters trust and communication between the patient and healthcare provider, leading to a higher likelihood of adherence to the prescribed treatment plan. Choice A is incorrect because judging the patient may lead to defensive reactions and hinder open communication. Choice C is incorrect as ignoring the issue can result in worsening health outcomes. Choice D is incorrect as providing reassurance without addressing the underlying reasons for non-compliance may not effectively resolve the issue.

Correct Answer: A

Rationale: The correct answer is A: Excessive worry about a variety of topics. This is a common symptom of generalized anxiety disorder as individuals experience persistent and excessive worry about various aspects of their lives. This worry is difficult to control and can interfere with daily functioning. Choice B is incorrect because hyperactivity and impulsivity are more characteristic of conditions like ADHD rather than generalized anxiety disorder. Choice C is incorrect as euphoria and grandiosity are symptoms of conditions like bipolar disorder, not generalized anxiety disorder. Choice D is incorrect as hallucinations are not typically associated with generalized anxiety disorder but may be seen in conditions like schizophrenia.