A client describes flashbacks of a terrifying car crash in which he saw his best friend die. Which disorder should the nurse suspect in this situation?

Panic disorder

Obsessive-compulsive disorder

Posttraumatic stress disorder

Agoraphobia

Answer and Explanation

The Correct Answer is C

A: Panic disorder involves unexpected and repeated episodes of intense fear.

B: Obsessive-compulsive disorder is characterized by unwanted repeated thoughts (obsessions) and actions (compulsions).
C: PTSD involves re-experiencing a traumatic event through flashbacks and nightmares, fitting the client’s description.

D: Agoraphobia is an anxiety disorder involving a fear of places and situations that might cause panic, helplessness, or embarrassment.

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Correct Answer is D

Explanation

A: Monthly laboratory tests to monitor drug levels are not typical for benzodiazepine use.
B: Avoiding foods containing tyramine is necessary with MAO inhibitors, not benzodiazepines.
C: Benzodiazepines are known to cause physical dependence; hence, stating otherwise would be incorrect.
D: Combining benzodiazepines with alcohol can increase CNS depression and is potentially dangerous.

A. Notify the charge nurse of the need for evaluation of the client's level of competence. B. Ask the client to express her reasons for refusing the morning medications and document the event. C. Crush the pills, if not contraindicated, and hide them the client's in applesauce. D. Try to talk the client into adherence by telling her the possible implications of missing a dose.

Correct Answer is B

Explanation

A: While assessing competence might eventually be necessary, it should come after understanding the client's reasons for refusal.
B: This action respects the client’s autonomy and provides insights into her thinking or possible misconceptions that can be addressed.
C: Crushing pills without consent and hiding them in food is unethical and could be dangerous, as some medications are not meant to be crushed.
D: Trying to convince the client might be seen as coercive. Understanding her reasons first is a more patient-centered approach.

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A client describes flashbacks of a terrifying car crash in which he saw his best friend die. Which disorder should the nurse suspect in this situation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is given the diagnosis of generalized anxiety disorder and is prescribed a benzodiazepine. The client should be instructed on which of the following?

Correct Answer is D

Explanation

A nurse in an assisted-living facility is caring for a client who is in early stages of dementia. The client has been oriented to name and place and is usually cooperative. Which of the following nursing actions is appropriate if the client refuses to take morning medications?

Correct Answer is B

Explanation

Which of the following is a physical clinical finding of depression in older adults?

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