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."

Answer and Explanation

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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Correct Answer is D

Explanation

a. "Why are you concerned about these types of questions?"
This response can seem confrontational and might increase the client's defensiveness.
b. "We can skip these questions, if you like. It isn't imperative that we complete this section."
Skipping the questions can lead to an incomplete assessment, and it does not address the client's concern.
c. "It is just a routine part of our assessment. All clients are asked these same questions."
While this is true, it does not explain the importance of the questions and may seem dismissive.
d. "Psychological factors like excessive stress have been found to affect medical conditions."
This response explains the rationale behind the questions and how they relate to the client's overall health, potentially helping the client understand the importance of a holistic assessment.

A. focused conversations on various foods. B. Is able to binge eat without purging. C. gained ten pounds in one week. D. demonstrated healthy coping mechanisms that decreased anxiety

Correct Answer is D

Explanation

a. Focused conversations on various foods: While a healthy relationship with food is a treatment goal, focusing excessively on food during therapy sessions might indicate continued preoccupation, not necessarily a positive change.
b. Is able to binge eat without purging: This might seem positive on the surface, but it doesn't address the underlying problem of binge eating. The goal is to develop healthy eating habits and reduce both bingeing and purging behaviors.
c. Gained ten pounds in one week: Rapid weight gain is unlikely to be a healthy or sustainable outcome in bulimia nervosa treatment. It's important to focus on healthy weight management alongside addressing the core eating disorder behaviors.
d. Demonstrated healthy coping mechanisms that decreased anxiety (Correct): Bulimia nervosa involves recurrent episodes of binge eating followed by purging behaviors. Recovery involves developing healthy coping mechanisms to manage anxiety and reduce the urge to binge or purge. This is a key indicator of progress.

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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During a client intake assessment, the nurse asks both physiological and psychosocial questions. The client angrily responds, "I'm here for my heart, not my head problems." What is the nurse's best response?

Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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