A 10-year-old patient was recently diagnosed with generalized anxiety disorder (GAD). In addition to psychological treatment, the medication that should be considered for initial treatment is:
an anxiolytic.
a benzodiazepine.
a selective serotonin reuptake inhibitor (SSRI).
an antipsychotic
The Correct Answer is C
Rationale:
A. Anxiolytics, such as buspirone, are not typically first-line for children with generalized anxiety disorder.
B. Benzodiazepines are generally avoided in pediatric patients due to the risk of dependence, sedation, and cognitive impairment.
C. Selective serotonin reuptake inhibitors (SSRIs) are considered first-line pharmacologic treatment for pediatric GAD when combined with cognitive-behavioral therapy. They have evidence supporting efficacy and safety in children and adolescents.
D. Antipsychotics are not indicated for primary treatment of generalized anxiety disorder and are reserved for specific severe psychiatric conditions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Hourly urine output helps monitor ongoing fluid status but is not the primary factor for calculating initial fluid replacement.
B. The percentage of weight loss is the most important factor for determining the degree of dehydration and the corresponding rate of fluid replacement. It provides an objective measure of fluid deficit and guides accurate rehydration.
C. Clinical signs of dehydration (e.g., dry mucous membranes, poor skin turgor) are useful for assessment but are less precise than weight loss for calculating fluid needs.
D. The type of dehydration based on serum sodium concentrations influences the composition of fluids (isotonic, hypotonic, hypertonic) rather than the overall rate of replacement.
Correct Answer is A
Explanation
Rationale:
A. In severe hypernatremic dehydration, an infant typically presents with tachycardia, decreased urine output, poor skin turgor, and lethargy. Hypernatremia leads to intracellular dehydration, causing compensatory cardiovascular responses such as tachycardia.
B. Bulging anterior fontanel is more suggestive of increased intracranial pressure, not routine hypernatremic dehydration. Weight loss may be present but is nonspecific.
C. A sodium level of 140 mEq/L is normal, not indicative of hypernatremia. Parched mucous membranes may occur in dehydration, but hypernatremic dehydration usually presents with sodium >150 mEq/L.
D. Potassium of 5.2 is mildly elevated but bradycardia is not typical; tachycardia is the expected cardiovascular response in hypernatremic dehydration.
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