A nurse is caring for a client who is prescribed alprazolam to manage severe manifestations of anxiety. Which of the following should the nurse prepare to discuss with the client?
Avoid driving or operating heavy machinery until you know how alprazolam affects you.
Relief of manifestations should be expected after a few weeks of therapy.
Foods that are known to be high in dietary tyramine should be avoided.
Increase the dose of medication as needed if relief of manifestations is not experienced.
The Correct Answer is A
A. Alprazolam is a benzodiazepine that can cause drowsiness, dizziness, and impair motor coordination. Therefore, the nurse should advise the client to avoid activities that require alertness until they understand how the medication affects them.
B. Alprazolam provides relatively quick relief of anxiety symptoms, often within hours, rather than requiring weeks of therapy like some other medications.
C. Foods high in tyramine are a concern for clients taking monoamine oxidase inhibitors (MAOIs), not alprazolam.
D. Increasing the dose without guidance from a healthcare provider is unsafe. The client should not adjust their medication dosage without consulting the provider.
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Related Questions
Correct Answer is D
Explanation
A. Isolating the client is not appropriate, as it can increase anxiety and exacerbate the compulsive behaviors.
B. Setting strict limits can lead to increased anxiety and resistance, making it harder to manage the compulsive behaviors.
C. Confronting the client about the senselessness of their compulsions can increase anxiety and worsen the behavior. It is more helpful to provide a supportive environment that allows for the rituals, gradually decreasing their frequency and intensity.
D. Clients with OCD often perform compulsive rituals to reduce anxiety. Planning time for rituals helps to manage the behavior while maintaining the therapeutic structure and routine on the unit.
Correct Answer is B
Explanation
A. The behavior of picking up after others does not limit interaction time with others; it is driven by anxiety.
B. The compulsive behavior in OCD is often used as a coping mechanism to reduce anxiety. The client is attempting to neutralize or manage obsessive thoughts by performing these repetitive actions.
C. The behavior is not intended to focus attention on meaningful tasks but to alleviate distress.
D. While the behavior might seem to control the environment, the primary motivation is anxiety reduction, not manipulation of others.
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