A client with anxiety is beginning treatment with lorazepam (Ativan). It is most important for the nurse to assess the client's:
Use of coping mechanisms.
Use of alcohol.
Motivation for treatment.
Family and social support.
The Correct Answer is B
Choice A reason: Assessing coping mechanisms is important but not the priority when initiating lorazepam. The immediate concern is safety related to drug interactions.
Choice B reason: Alcohol use must be assessed first because combining lorazepam with alcohol can cause severe respiratory depression, sedation, and increased risk of overdose. This is the most critical safety assessment.
Choice C reason: Motivation for treatment is relevant for long-term adherence but not the most urgent concern when starting benzodiazepines.
Choice D reason: Family and social support are important for overall treatment success but are secondary to immediate safety concerns regarding alcohol use.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Feeling better physically from talking reflects temporary relief but does not indicate deeper therapeutic progress.
Choice B reason: Labeling others as having emotional problems shows lack of insight and externalization of issues.
Choice C reason: Gaining benefit from listening to others demonstrates engagement, insight, and recognition of shared experiences. This indicates therapy is effective.
Choice D reason: Minimizing one’s own problems reflects denial and comparison, not therapeutic progress.
Correct Answer is A
Explanation
Choice A reason: Forgetting worries is an avoidance strategy, not a healthy coping mechanism. The nurse should encourage verbalization of feelings to promote insight, emotional processing, and adaptive coping.
Choice B reason: Developing insight involves recognizing triggers, patterns, and maladaptive responses. Forgetting worries does not demonstrate insight but avoidance.
Choice C reason: Successful treatment is reflected in improved functioning and adaptive coping, not suppression of worries.
Choice D reason: Coping skills involve constructive strategies such as relaxation, problem-solving, and emotional regulation. Forgetting worries does not reflect improved coping.
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