Inability to leave one's home because of avoidance of severe anxiety suggests the existence of which anxiety disorder?

Posttraumatic stress response

Panic attacks with agoraphobia

Generalized anxiety disorder

Obsessive-compulsive disorder

Answer and Explanation

The Correct Answer is B

A. Posttraumatic stress response involves reliving traumatic events, flashbacks, and hyperarousal, not specifically avoidance due to anxiety about leaving the home.

B. Agoraphobia is characterized by a fear of situations where escape might be difficult or help unavailable, leading to avoidance behavior such as being unable to leave home. It often co-occurs with panic disorder.

C. Generalized anxiety disorder involves excessive worry about multiple areas of life but not specific avoidance behaviors like agoraphobia.

D. Obsessive-compulsive disorder involves intrusive thoughts (obsessions) and repetitive behaviors (compulsions), but not the avoidance behavior characteristic of agoraphobia.

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Correct Answer is A

Explanation

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.

A. Administer the morning dose of lithium. B. Check the client's medication record to assess whether the client has been refusing her lithium. C. Prepare for gastric lavage due to an extremely elevated lithium level. D. Hold the medication and assess for early manifestations of toxicity.

Correct Answer is A

Explanation

A. A lithium level of 1.0 mEq/L is within the therapeutic range (0.6 to 1.2 mEq/L). The nurse should administer the morning dose of lithium as prescribed.

B. While it is important to monitor for medication adherence, there is no indication from the current lithium level that this client is refusing the medication.

C. Gastric lavage is unnecessary, as the lithium level is not elevated enough to warrant this extreme intervention.

D. Early signs of lithium toxicity typically occur with levels above 1.5 mEq/L. Since the level is 1.0 mEq/L, the nurse should proceed with administering the medication.

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Inability to leave one's home because of avoidance of severe anxiety suggests the existence of which anxiety disorder?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is A

Explanation

A nurse in an acute care mental health facility is preparing to administer morning medication for a client who has been taking lithium for 2 weeks and has a current lithium level of 1.0 mEq/L. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse at a walk-in mental health clinic is assessing a client experiencing severe anxiety. The nurse should recognize the client might exhibit which of the following manifestations?

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A nurse is caring for a client who has bipolar disorder and is taking lithium. The client reports blurred vision and ataxia. Which of the following actions should the nurse take?

A 35-year-old client with OCD spends several hours each day arranging and rearranging household items in a specific order. The client becomes extremely distressed if the items are not arranged correctly. Which nursing intervention is most appropriate?

Inability to leave one's home because of avoidance of severe anxiety suggests the existence of which anxiety disorder?

A nurse is teaching a client who has a new prescription for lithium to treat bipolar disorder. The nurse should instruct the client to ensure an adequate intake of which of the following dietary elements?