Lorazepam (Ativan) is prescribed for a client experiencing severe acute anxiety. Most important teaching should include instructions to:

avoid taking opioid medications and other sedatives.

report insomnia

eat a tyramine-free diet.

adjust dose and frequency based on your anxiety level.

Answer and Explanation

The Correct Answer is A

Lorazepam belongs to a class of drugs called benzodiazepines, which are central nervous system (CNS) depressants.

Taking other CNS depressants such as opioids or sedatives along with lorazepam can lead to increased sedation, respiratory depression, and other serious side eﬀects. It is crucial for patients to avoid these medications while taking lorazepam.

Reporting insomnia is important, but it is not the most critical teaching for this medication. Eating a tyramine-free diet is not relevant to lorazepam use.

Adjusting the dose and frequency based on anxiety level is not recommended as it can lead to misuse or dependence on the medication. It is important to take lorazepam only as prescribed by a healthcare provider.

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Correct Answer is A

Explanation

According to Erikson's Stages of Psychosocial Development, the first stage is Trust vs. Mistrust, which occurs during the first 18 months of life. During this stage, infants learn to trust their caregivers and develop a sense of security and comfort in their environment. This is accomplished through consistent and responsive caregiving, including meeting the infant's physical and emotional needs.

Therefore, it is crucial for the nurse to understand the importance of building trust and significant early attachments during the first 18 months of life to promote healthy psychosocial development in pediatric clients.

A. Decrease anxiety to a tolerable level. B. Focus attention on meaningful tasks, C. Limit the amount of time available to interact with others. D. Manipulate and control others' behaviors.

Correct Answer is A

Explanation

Individuals with OCD often engage in compulsive behaviors as a way to reduce anxiety or distress. In this case, the client’s behavior of constantly picking up after others in the day room may be a compulsion that helps them decrease their anxiety to a tolerable level.

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Lorazepam (Ativan) is prescribed for a client experiencing severe acute anxiety. Most important teaching should include instructions to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse provides care for clients in the pediatric clinic. The nurse understands that according to Erikson Stages of Psychosocial development, trust and significant early attachments develop during which time period?

Correct Answer is A

Explanation

A registered nurse is caring for a client who has been diagnosed with obsessive-compulsive disorder (OCD) and is constantly picking up after others in the day room. The nurse should recognize that the client uses this behavior to do which of the following?

Correct Answer is A

Explanation

Which nursing intervention has priority as a patient diagnosed with anorexia nervosa begins to gain weight after initiating therapy? Select one:

What is the nurse's priority assessment for a patient with borderline personality disorder?

A nurse Observes a client who has OCD repeatedly applying, removing, and then reapplying makeup. The nurse identifies that repetitive behavior in a client who has OCD is due to which of the following underlying reasons? Select one:

A nurse is communicating with a client who was just admited for treatment of a substance use disorder. Which of the following communication techniques should the nurse identify as a barrier to therapeutic communication? Select one:

A client is agitated and pacing in the hall near the nurses' station and swearing loudly. What response is the best for the registered nurse to provide? Select one:

A nurse is caring for several clients who are attending community-based mental health programs. Which Of the following clients should the nurse plan to visit first? Select one:

A client tells the nurse. "l wanted my health care provider to prescribe alprazolam (Xanax) for my anxiety disorder but buspirone (Buspar) was prescribed instead. Why?" The registered nurse's reply should be based on that buspirone: Select one:

A nurse is assessing a client who has generalized anxiety disorder. Which of the following findings should the nurse expect?