A nurse is reinforcing teaching with a client who has generalized anxiety disorder and a new prescription for buspirone. Which of the following information should the nurse include?

Choice A reason: This response does not address the client's immediate fear and hallucination. While it is important to collect the blood specimen as ordered, the nurse should first address the client's hallucination and provide reassurance. Simply stating that the provider requires the blood specimen may not reduce the client's anxiety or confusion.

Choice B reason: Telling the client they must be mistaken is dismissive of their experience. Clients experiencing hallucinations perceive them as real, and dismissing these perceptions can increase their distress and mistrust. Instead, the nurse should acknowledge the client's feelings and provide comfort without invalidating their experience.

Choice C reason: Stating that the nurse is using a syringe and not a snake may not be helpful, as the client is experiencing a hallucination and may not be able to distinguish between reality and their perception. This response does not validate the client's feelings or provide the necessary reassurance.

Choice D reason: Acknowledging the client's hallucination and expressing empathy is the most appropriate response. By saying, "I don't see a snake, but that must be scary for you," the nurse acknowledges the client's fear and provides comfort without reinforcing the hallucination. This approach helps build trust and rapport, making it easier to proceed with the necessary procedure while ensuring the client's emotional well-being.

Choice A reason: This statement is incorrect. Buspirone is not known to cause dependence, which is one of the reasons it is often preferred for the treatment of generalized anxiety disorder. Unlike benzodiazepines, which can lead to dependence and withdrawal symptoms, buspirone does not have these effects, making it a safer long-term option for managing anxiety.

Choice B reason: There is no specific dietary restriction regarding the consumption of leafy green vegetables when taking buspirone. This statement might confuse the client unnecessarily. Dietary interactions are more commonly associated with certain other medications, such as MAO inhibitors, which require patients to avoid tyramine-rich foods to prevent hypertensive crises. However, this does not apply to buspirone.

Choice C reason: This statement is accurate and important for the client to understand. Buspirone typically takes several weeks to achieve its full therapeutic effect. Clients should be advised to continue taking the medication as prescribed and not to expect immediate relief of anxiety symptoms. This information helps set realistic expectations and encourages adherence to the treatment plan.

Choice D reason: This statement is incorrect and could lead to improper medication administration. If a dose of buspirone is missed, it should not be doubled up with the next dose. Instead, clients should take the missed dose as soon as they remember unless it is almost time for their next scheduled dose. Doubling up on doses can increase the risk of side effects and is not a safe practice.