A client who has been on benzodiazepines for two months is now complaining of sweating, tremors, and inability to sleep. The nurse suspects that this client:
Is experiencing common side effects of the medication.
May need a dosage increase due to an increase in symptoms.
Is experiencing withdrawal symptoms from abruptly stopping the medication.
May need a dosage increase due to tolerance.
The Correct Answer is C
Choice A reason: Sweating, tremors, and insomnia are not common side effects of benzodiazepines; they are withdrawal symptoms.
Choice B reason: Increasing dosage would not resolve withdrawal symptoms and could worsen dependency.
Choice C reason: Abrupt discontinuation of benzodiazepines leads to withdrawal symptoms, including autonomic hyperactivity, tremors, and insomnia. This is the most likely explanation.
Choice D reason: Tolerance develops with long-term use, but the described symptoms are consistent with withdrawal, not tolerance.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Clients with illness anxiety disorder do show distress, but the distress is related to fear of disease rather than the physical symptoms themselves.
Choice B reason: Not all of the statements are true. For example, clients do not fabricate symptoms for attention; their fears are genuine.
Choice C reason: Exaggeration or fabrication is more consistent with factitious disorder or malingering, not illness anxiety disorder.
Choice D reason: Interpreting normal body sensations as signs of disease is the hallmark of illness anxiety disorder. Clients misinterpret benign sensations such as palpitations or headaches as evidence of serious illness.
Correct Answer is A
Explanation
Choice A reason: Stress is defined as the wear and tear that life causes on the body. It reflects the physiological and psychological strain resulting from life demands. This definition aligns with the concept that stress is an external force impacting the body and mind.
Choice B reason: Stress is not a reaction to anxiety; rather, anxiety is often a reaction to stress. Stress refers to external pressures, while anxiety is the internal emotional response. This choice confuses the relationship between the two concepts.
Choice C reason: Anxiety is not simply trouble dealing with life situations. It is a psychological state characterized by apprehension, fear, or worry, often disproportionate to the actual stressor. While difficulty coping may trigger anxiety, this definition is incomplete and misleading.
Choice D reason: People do not handle stress in the same way. Stress responses vary widely depending on personality, coping mechanisms, resilience, and support systems. This statement is inaccurate because stress management is highly individualized.
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