Anxiety Disorders
SSRI
Benzos
Buspirone
NCLEX style
100

This anxiety disorder is characterized by excessive worry occurring most days for at least six months.

What is Generalized Anxiety Disorder?

100

what medication is considered the first line treatment for anxiety disorders?

what is SSRIs

100

This medication is commonly used during a panic attack

What is Lorazepam?

100

Buspirone is used to treat which disorder?

What is generalized anxiety disorder?

100

A client with generalized anxiety disorder states, "i have learned that the best thing I can do is just try to forget my worries and push them out of my head." How should the nurse respond?

A. the client is developing positive clinical insight 

B. the clients adaptive coping skills have improved 

C. the client requires further nursing encouragement to verbalize their feelings

D. the client's behavioral treatment has been fully successful  

what is C?

200

A client fears snakes and becomes extremely anxious whenever one is seen

What is Specific Phobia

200

Name two SSRIs commonly used for anxiety

Sertraline 

Fluoxetine

Paroxetine

Escitalopram

200

Name two common side effects of benzodiazepines

Sedation

Dizziness

Respiratory depression

200

Does Buspirone work immediately?

NO

200

The nurse observes a client in the day room who is rapidly pacing, hyperventilating, clenching their jaw, and trembling. The client's speech is high pitched, rapid and random.  The nurse should document the client's anxiety at which level?

What is severe?

300

This disorder includes sudden episodes of intense fear, chest pain, palpitations, and fear of dying 

What is panic disorder?

300

How long does it take for SSRIs to become effective?

what is 2 to 6 weeks?
300

True or False: Benzodiazepines should be stopped abruptly

What is false?

300

Approximately how long does Buspirone take to be effective?

two to four weeks
300

A nurse is completing an intake assessment on a client with moderate anxiety. which cognitive or perceptual alteration should the nurse expect to observe?

A. total inability to complete simple tasks or follow any direction

B. complete loss of contact with reality and presence of hallucinations

C. a narrowed perceptual field and selective attention.

D. an inability to connect thoughts or speak coherently 

What is C?

400

A child becomes extremely distressed when separated from a parent.

what is separation anxiety disorder?

400

Name the potentially life-threatening complication of a SSRI 

what is serotonin syndrome?
400

What serious complication may occur if benzodiapines are stopped abruptly?

What is seizures?

400

What clients is Buspirone preferred for?

Substance abuse and addiction history

400

A nurse is developing a plan of care for a client with panic disorder. which interventions should the nurse include? select all that apply 

a. force the client to remain in panic- producing situations to build tolerance

b. teaches deep breathing and relaxation exercises while the client anxiety level is low

c. Instruct the client to ignore and suppress any anxious feelings during an attack.

d. remains with the client during an acute panic attack to ensure safety.

e. teach the client cognitive reframing techniques once the acute pain subsides.

what is B, D, E?

500

This disorder involves obsessions and compulsions.

What is obsessive- compulsive disorder?

500

Name three symptoms of serotonin syndrome

Fever

agitation

muscle rigidity

hyperreflexia 

tachycardia

500

A client taking lorazepam has a RR of 8/min. What is the nurses priority action?

Hold the medication, assess airway and notify provider

500

What major advantage does Buspirone have over benzodiazepines?

Minimal risk for dependence?

500

A client with OCD has counting and checking rituals that prolong their attempts to perform activities of daily living. If the nurse forcefully interrupts the client's ritual to speed up task completion, what is the most likely clinical outcome? 

A. the client will express gratitude for the nurse's assistance

B. The client will experience an immediate, severe burst of increased anxiety.

C. The client will exhibit immediate relief form stopping the ritual. 

D. the client will develop sudden symptoms of deep suicidal ideation 

What is B?

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