A nurse is providing discharge instructions to a patient who has been prescribed an antidepressant medication for the treatment of anxiety disorder. The nurse tells the patient, "It may take several weeks for the medication to start working fully." The nurse's statement is based on which characteristic of antidepressant medications?
Rapid onset of action.
Long duration of action.
Initial worsening of anxiety symptoms.
Slow onset of therapeutic effect.
The Correct Answer is D
Choice A rationale:
Rapid onset of action - Antidepressant medications with rapid onset of action, such as selective serotonin reuptake inhibitors (SSRIs), can lead to quicker relief of symptoms. However, the nurse's statement mentions that it may take several weeks for the medication to start working fully, which contradicts the idea of rapid onset. Therefore, this choice is not applicable.
Choice B rationale:
Long duration of action - Antidepressants with long duration of action might provide sustained symptom relief once they take effect, but the nurse's statement focuses on the time it takes for the medication to start working fully rather than its duration of action. Thus, this choice is not relevant.
Choice C rationale:
Choice D rationale:
Slow onset of therapeutic effect - The nurse's statement, "It may take several weeks for the medication to start working fully," suggests that the medication has a slow onset of therapeutic effect. This is characteristic of many antidepressant medications, which often require several weeks of consistent use before significant symptom improvement is observed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Completely eliminate anxiety symptoms. While this might be an ideal goal, it's not always achievable due to the nature of anxiety disorders. Anxiety is a normal human emotion, and the goal of treatment is to manage it rather than eliminate it completely.
Choice B rationale:
Reduce the severity and frequency of anxiety symptoms. This is the correct goal of pharmacological treatment for anxiety disorders. Complete elimination of anxiety symptoms is often unrealistic, but reducing their severity and frequency can significantly improve the patient's quality of life.
Choice C rationale:
Treat the underlying cause of anxiety disorders. Anxiety disorders are multifactorial, involving genetic, environmental, and psychological factors. While addressing underlying causes is important, pharmacological treatment primarily aims to manage symptoms rather than target the complex underlying causes.
Choice D rationale:
Prevent comorbidities associated with anxiety disorders. While effective anxiety treatment can potentially prevent some comorbidities, such as depression, the primary focus of pharmacological treatment is directly on managing anxiety symptoms rather than solely preventing associated conditions.
Correct Answer is A
Explanation
Choice A rationale:
Enhance the activity of gamma-aminobutyric acid (GABA) in the brain. Benzodiazepines are known to enhance the inhibitory effects of GABA, the major inhibitory neurotransmitter in the central nervous system. This results in reduced neuronal excitability, leading to the anxiolytic (anxiety-reducing) effects of benzodiazepines.
Choice B rationale:
Block beta-adrenergic receptors in the heart and blood vessels. This statement is incorrect. While beta-blockers can be used to manage certain physical symptoms of anxiety (such as rapid heartbeat), benzodiazepines do not directly block beta-adrenergic receptors.
Choice C rationale:
Partially agonize serotonin 5-HT1A receptors and antagonize dopamine D2 receptors. This statement is inaccurate. Benzodiazepines primarily interact with GABA receptors, not serotonin or dopamine receptors.
Choice D rationale:
Modulate the activity of various neurotransmitters and ion channels in the brain. This statement is overly broad and doesn't accurately describe the specific mechanism of benzodiazepines. Their primary mode of action is through enhancing GABAergic inhibition.
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