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Terms in this set (30)A client tells the nurse he or she worries about everything all day, feels confused, restless. Which should the nurse suspect the client is experiencing? a. Social anxiety d. Generalized anxiety The nurse has completed group education for clients with anxiety disorders. Which statement made be a client indicates an understanding of the education? select all that apply. a. "Relaxation techniques will often decrease anxiety." a. "Relaxation techniques will often decrease anxiety." A client ask the nurse which part of the brain controls anxiety and insomnia. Which response should the nurse provide? a.
"The limbic system and reticular activating system control anxiety and insomnia." a. "The limbic system and reticular activating system control anxiety and insomnia." A client asks the nurse why he or she are prescribed different types of medications for his or her anxiety and insomnia. Which response should the nurse provide the client? select all that apply. a. "You will be taking medications known as sedative-hypnotics." a. "You will be taking medications known as sedative-hypnotics." A client with a generalized anxiety disorder asks the nurse if he or she will need medication for treatment. Which response should the nurse provide the client? a. "A prescription is
necessary initially; followed by therapy." d. "A prescription is necessary when anxiety interferes with your quality of life." A client has taken different prescriptions over the past two years that have been unsuccessful in treating his or her insomnia. Which condition should the nurse suspect the client may be experiencing? a. Sleep apnea a. Sleep apnea A client asks the nurse to describe NREM stage 3 sleep. Which response should the nurse provide the client? a. "This is the lightest stage of sleep and is
profoundly affected by anxiety." b. "This is the deepest stage of sleep; without it you will be tired and depressed." A client who has been taking lorazepam (Ativan) for 2 years presents to the clinic and tells the nurse that her or she stopped taking his or her medication 3 days prior. Which assessment findings should the nurse anticipate? a. A sense of calmness and lack of anxiety. b. Increased heart rate, fever, and muscle cramps. A client presents to the emergency department suspected of overdosing on lorazepam (Ativan). Which prescription should the nurse prepare to administer? a. Pralidoxime (Protopam) c. Flumazenil (Romazicon) Which client should the nurse be most concerned with taking benzodiazepines? a. A 32-year-old mother of two preschool children. b. An 87-year-old client who uses a cane for ambulation. The nurse has completed the education for a client prescribed buspirone (BuSpar). Which statement made by the client indicates further teaching is required? a. "The side effects I might experience include dizziness, headache, and drowsiness." b. "I can take this prescription when I feel anxious and it will relax me." A client is prescribed zolpidem (Ambien) for treatment of short-term insomnia. Which is the primary safety concern of the nurse? a. Diarrhea b. Sleepwalking A client experiencing nervousness asks the nurse why escitalopram was prescribed. Which response should the nurse provide theclient? a. "Your doctor thinks that this is the best treatment for your anxiety, and these medications are safer thanbenzodiazepines." c. "The same brain chemicals are involved with anxiety and depression." A client presents to the clinic with symptoms of hyperthermia and diaphoresis. The client's prescription history includes escitalopram (Lexapro), St. John's Wort, levothyroxine, and acetaminophen. Which should the nurse suspect has occurred? a. The patient may be experiencing withdrawal. d. The patient may be experiencing serotonin syndrome. The nurse has provided teaching for a client prescribed clonazepam (Klonopin). Which is an important outcome when evaluating the client's understanding of the teaching? a. The client will verbalize the importance of dietary restrictions related to this drug. b. The client will verbalize the consequences of abruptly stopping the drug. Which condition is a client most likely experiencing that tells the nurse he or she is having difficulty sleeping because he or she has two final exams approaching? a. Performance anxiety b. Situational anxiety Which should the nurse recommend to a client as a primary approach to managing stress? a. A combined approach using a prescription and nonpharmacological strategies. c. To determine the cause of the anxiety Which area of the brain is primarily responsible for maintaining sleep and wakefulness? a. Limbic system c. Reticular activating system Which drug category can be used for treating anxiety? a. Antitussives c. Seizure drugs A client with anxiety and insomnia asks the nurse about the benefits of treatment with a benzodiazepine. Which response should the nurse provide the client? a. "Benzodiazepines are most likely to be covered under insurance premiums." c. "Benzodiazepines have the lowest risk of dependency and tolerance." The nurse is preparing the education for a client prescribed a selective serotonin reuptake inhibitors (SSRI). Which adverse effects should the nurse include in the teaching? a. Dry mouth and
urine retention d. Weight gain and sexual dysfunction Which information should the nurse include in the teaching for a client prescribed ramelteon? a. The primary action is to induce a deep sleep state. c. Relatively short onset of action. Which statement regarding the use of zolpidem (Ambien) for insomnia is accurate? a. Clients using Ambien should avoid foods that contain tyramine. d. Ambien will take longer to produce an effect when taken with food. Which explanation best explains why barbiturates are rarely used to treat anxiety and insomnia? a. They have a high risk of producing an allergic response. c. They produce many serious adverse effects. Which should the nurse recognize is a benefit of obtaining a thorough history from a client who is experiencing anxiety? a. The type of counseling can be prescribed based on the history. c. Pharmacotherapy can be prescribed. Which assessment findings should the nurse anticipate if a client is diagnosed with post-traumatic stress disorder? select all that apply. a. Tachycardia a. Tachycardia A client has been in the intensive care unit for a week receiving various procedures throughout the day and night. Currently theclient, though physiologically stable, is irritable and paranoid and complains of vivid dreams when dozing off to sleep. Which are the best actions for the nurse to take at this time? select all that apply. a. Check the client's oxygen status. b. Request a prescription for a for sleep hypnotic. Which non pharmacological interventions should the nurse recommend for a client that is having difficulty sleeping? select all that apply. a. "Make certain your bedroom is nice and warm." b. "There are alternative methods to treat insomnia,
such as yoga, meditation, and massage therapy." A client asks the nurse if there are any over-the-counter herbs or nonprescription medications that can be used to improve insomnia. Which response should the nurse provide the client? select all that apply. a. "Ginger root is commonly taken to improve sleep." c. "Diphenhydramine (Benadryl) and doxylamine are over-the-counter meds sometimes taken to produce drowsiness." A client asks the nurse which prescriptions are commonly used to treat insomnia. Which pharmacological agents should the nurse discuss with the client? select all that apply. a. Diphenhydramine (Benadryl) c. Ramelteon (Rozerem) Sets with similar termsPharm Ch 22 Anxiety and Sleep Disorders39 terms sallymays80 Nursing Psych Care26 terms funkyk Mental Health Disorders Medication NCLEX Questions58 terms sneha_jose Mental Health Medications NCLEX58 terms Shirley_Hernandez Sets found in the same folderChapter 1630 terms sykim83 Chapter 1730 terms sykim83 My Lab Quiz 15 (Exam 1)30 terms ehickman22 Chapter 1830 terms sykim83 Other sets by this creatorNURS 3554 Exam 1 Chapter 68 terms ehickman22 NURS 3554 Exam 1 Chapter 235 terms ehickman22 NURS 3554 Exam 1 Chapter 398 terms ehickman22 PNB 2265 Exam 1 Top Hat Questions16 terms ehickman22 Verified questionsPSYCHOLOGY What types of things does Henry seem unable to recall? Verified answer PSYCHOLOGY What's the difference between afferent and efferent neurons? What are interneurons? Verified answer
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QUESTION Systematic desensitization would most likely be used as a treatment for which of the following disorders? a. Arachnophobia b. Schizophrenia c. Bipolar disorder. Hypochondriasis e. Tardive dyskinesia Verified answer Other Quizlet setsPSYC 101 Exam 285 terms nicole_heider Bio 1620 Ch 34 Multiple Choice35 terms DixieChamp Irreversible Hydrocolloid & Bite Registration54 terms Gisel_Alvarez89 ENTO 208 WK9 QUIZ52 terms hannahangeles12 Related questionsQUESTION What are the parts of the mental status exam? 15 answers QUESTION Bill is an alcoholic. His wife, Marge, has a lot of ready excuses she uses to explain to his boss, their friends, and their children to explain his frequent absences. This is an example of 15 answers QUESTION how does helping the patient question underlying assumptions and beliefs and consider alternate explanations to problems help people with depression? 5 answers QUESTION Why is the mental status exam important? 14 answers Is ramelteon used for anxiety?Ativan (lorazepam)
Rozerem (ramelteon) is a good sleep medicine that's not addictive, but it can be expensive. Helps you relax. Ativan (lorazepam) is an effective medicine for occasional or short-term anxiety.
Which substance is used in the initial production of catecholamines quizlet?Tyrosine hydroxylase is the first enzyme that is used for the formation of dopamine, NE and epinephrine from tyrosine. Tyrosine hydroxylase is the rate limiting step in the synthesis of L-dopa which will eventually contribute to the formation of catecholamines.
What class of medication is amitriptyline and why is this medication used as an adjuvant?Elavil (amitriptyline) is an antidepressant medication that is sometimes prescribed off-label to manage chronic back pain. It is one of the drugs in a class of drugs known as tricyclic antidepressants.
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Which information should the nurse include in the teaching for a client prescribed ramelteon
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