A patient has acute anxiety related to an automobile accident 2 hours ago. The nurse should teach the patient about medication from which group?
Antipsychotic drugs
Benzodiazepines
Mood stabilizers
Tricyclic antidepressants
The Correct Answer is B
A. Antipsychotics are used for psychosis (e.g., schizophrenia, delusions, hallucinations), not for acute anxiety.
B. Benzodiazepines (e.g., lorazepam, diazepam, alprazolam) are the treatment of choice for acute anxiety or panic attacks because they act quickly (within minutes to hours) by enhancing GABA neurotransmission, providing rapid relief.
C. Mood stabilizers (e.g., lithium, valproate) are used in bipolar disorder, not for acute situational anxiety.
D. Tricyclic antidepressants (e.g., amitriptyline) are used for long-term management of depression and some anxiety disorders, but their onset is delayed (2–6 weeks), making them ineffective for acute anxiety.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Social support is important for overall risk formulation and safety planning, but it is not the immediate priority when assessing imminent danger.
B. Financial and educational status may contribute to chronic stress and long-term risk, but they do not determine immediate lethality or imminence.
C. The availability of means and the lethality of the chosen method are the most urgent factors to assess because they directly influence the likelihood that an attempt will result in death. Removing or restricting access to lethal means is a high-priority, evidence-based safety intervention.
D. Insight into motivation helps guide treatment and psychotherapy, but it does not supersede immediate safety concerns about access to lethal methods.
Correct Answer is B
Explanation
A. Delirium is usually acute and reversible, especially when caused by an underlying condition like a UTI.
B. Delirium in elderly patients is often secondary to an acute illness such as a urinary tract infection. Treatment of the underlying cause typically resolves the confusion, so this statement provides accurate and reassuring information to the family.
C. While the provider can give a formal prognosis, the nurse can provide evidence-based, general information about delirium recovery.
D. While supportive, this does not address the family’s question about recovery.
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