A client diagnosed with General Anxiety Disorder (GAD) is started on clonazepam and buspirone. Which statement made by the client indicates teaching has been effective? The client verbalizes that:
"The clonazepam is to be used for long term therapy in conjunction with buspirone."
"Clonazepam is to be used short term until the buspirone takes full effect."
"Buspirone can cause sedation and should be taken at night."
"Tolerance could result with long term use of buspirone."
The Correct Answer is B
a. While buspirone can be used for long-term management, clonazepam is typically used for short periods.
b. This statement demonstrates the client understands clonazepam's short-term use for acute anxiety and buspirone's long-term role in managing GAD.
c. Buspirone doesn't typically cause drowsiness, unlike some other anxiety medications.
d. While tolerance can occur with some medications, buspirone is less likely to cause this compared to clonazepam.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
a. "You need to understand there are no voices": Denying the client's experience can be invalidating and unhelpful.
b. What are the voices telling you to do? (Correct)A key principle in responding to someone experiencing auditory hallucinations is to validate their experience and ask open-ended questions. This helps the client feel heard and allows the nurse to assess the severity of the situation and potential safety risks.
c. What do you think is causing you to hear the voices? While exploring the cause of hallucinations can be part of therapy, in the immediate situation, focusing on what the voices are saying and assessing safety is more important.
d. "You need to tell the forces to leave you alone": This is confrontational and doesn't acknowledge the client's fear. It might also reinforce the belief in the voices having power.
Correct Answer is A
Explanation
a. experience no loss of contact with reality. The key difference is reality testing. Clients with neurosis (anxiety disorders, OCD) generally maintain contact with reality, even though their thoughts or behaviours might be distressing. Clients with psychosis (schizophrenia) experience a break with reality, such as hallucinations or delusions.
b. Never have mood or personality changes. Not true. Mood and personality changes can occur in both neurosis and psychosis.
c. Have conflict but only use adaptive defence mechanisms to cope. Défense mechanisms are used by everyone to cope with anxiety, but in neurosis, they might be less healthy or maladaptive.
d. Are always aware that their behaviours are maladaptive. Not necessarily. Clients with neurosis might have limited insight into how their behaviours affect themselves or others.
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