A patient experiences a sudden episode of severe anxiety. Which medication would be the expected drug to be given to help with the sudden episode of severe anxiety?

Lorazepam (Ativan)

Amitriptyline (Elavil)

Buspirone (Buspar)

Desipramine (Norpramin)

Answer and Explanation

The Correct Answer is A

A. Lorazepam is a benzodiazepine that acts quickly to relieve acute anxiety, making it the medication of choice for sudden episodes of severe anxiety.

B. Amitriptyline is a tricyclic antidepressant used for long-term management of depression and anxiety, not for rapid relief of acute anxiety.

C. Buspirone is an anxiolytic effective for chronic anxiety but has a delayed onset of action and is not effective for sudden episodes.

D. Desipramine is a tricyclic antidepressant primarily used for depression and certain chronic anxiety disorders, not for immediate relief of severe anxiety.

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Correct Answer is D

Explanation

A. A busy family may experience stress, but this alone is not the greatest risk factor for abuse.
B. Multiple caregivers can sometimes create inconsistency in care, but it is not the primary factor.
C. Rural living may limit access to resources, but dementia itself poses a greater risk.
D. Dementia (especially Alzheimer’s disease) significantly increases vulnerability to abuse because of impaired memory, communication, and judgment, which limit the ability to report or stop mistreatment.

A. assess lung sounds and extremities. B. positively reinforce the patient for the weight gain. C. establish a higher goal for weight gain the next week. D. suggest use of an aerobic exercise program.

Correct Answer is B

Explanation

A. Assessing lung sounds and extremities is not a priority in this context unless there are signs of fluid overload or other complications; it does not address the psychosocial aspect of anorexia recovery.

B. Positive reinforcement encourages the patient’s healthy behaviors and progress, helping to build motivation and self-esteem during the challenging refeeding process. Recognizing the patient’s achievement supports therapeutic engagement and adherence to treatment goals.

C. Immediately establishing a higher weight gain goal may increase anxiety or pressure on the patient, potentially undermining adherence and progress. Goals should remain realistic and individualized.

D. Suggesting aerobic exercise is inappropriate at this stage of refeeding, as excessive activity can interfere with weight restoration and may reinforce disordered behaviors.

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A patient experiences a sudden episode of severe anxiety. Which medication would be the expected drug to be given to help with the sudden episode of severe anxiety?

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An older adult diagnosed with dementia lives with family in a rural area. During the week, this adult attends a day care center while the family is at work. In the evenings, members of the family provide care. Which factor makes this adult most vulnerable to abuse?

Correct Answer is D

Explanation

An outpatient diagnosed with anorexia nervosa has begun refeeding. Between the first and second appointments (one week between first and second appointment), the patient gained B pounds. The nurse should

Correct Answer is B

Explanation

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