A nurse is providing discharge teaching for a female client who has an anxiety disorder and a new prescription for lorazepam. Which of the following instructions should the nurse include in the teaching?
- "this med must be discontinued gradually"
rapid withdrawal from lorazepam has been ass...
A nurse is providing discharge teaching for a female client who has an anxiety disorder and a
new prescription for lorazepam. Which of the following instructions should the nurse include in
the teaching?
- "this med must be discontinued gradually"
rapid withdrawal from lorazepam has been associated with manifestations of withdrawal, such as
anxiousness, sleeplessness, and irritability. it is discontinued by gradually tapering if off over
time to avoid any adverse responses.
A nurse is reviewing the laboratory report of a client who has been taking lithium carbonate for
several months. Which of the following levels should the nurse recognize as a therapeutic
lithium level?
- 1.2mEq/L
range: 1.0-1.5
Clients taking lithium should drink six to eight glasses of water day to maintain a normal state of
hydration.
A nurse is caring for a client who has dementia. Which of the following findings should the
nurse expect?
- Impaired judgement.
Impaired judgement occurs in clients who have dementia because they lose their ability to
reason, think abstractly, and have rational thoughts.
A nurse is reviewing the health history of a young adult client who has a depressive disorder.
Which of the following factors should the nurse identify as increasing the client's risk for
depression?
- The client is female.
, The nurse should identify female gender as a primary risk factor for depression. The incidence of
depressive disorders is greater in women than in men by almost 2 to 1.
A nurse is caring for a client who has obsessive-compulsive disorder. The client engages in
repeated handwashing daily. Which of the following should the nurse recognize as the purpose
of the client's behavior?
- Relieving anxiety.
Ritualistic and compulsive behaviors, such as repeated hand washing, are associated with
obsessive-compulsive disorder. The client has a strong urge to perform these acts in an attempt to
reduce anxiety. Performing these acts only temporarily reduces the anxiety.
A nurse is caring for a client who has been unable to leave the house for the past 10 years
without accompaniment. When attempting to go out alone, the client becomes very anxious and
must quickly return inside. The nurse should identify that the client is exhibiting which of the
following disorders?
- Agoraphobia
Fear and avoidance of places where escape might be difficult
A nurse is caring for a client who has posttraumatic stress disorder (PTSD). Which of the
following actions by the client indicates the current treatment plan is effective?
- the clients report techniques she uses to promote sleep
A nurse is caring for a client who has panic disorder and is experiencing anxiety at the panic
level. Which of the following actions should the nurse take first?
- Instruct the client to take slow, deep breaths.
Apply the safety and risk reduction priority-setting framework.
A nurse is providing teaching to a client who has obsessive-compulsive disorder and performs
hand hygiene to decrease anxiety. Which of the following actions by the nurse implements
modeling as a behavioral intervention strategy?
- demonstrating performance of hand hygiene as designated times.
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