Which of the following medications is considered to be a first-line medication of choice in the treatment of PTSD?
Propranolol
Paroxetine
Alprazolam
Carbamazepine
The Correct Answer is B
Choice A reason: Propranolol is a beta-blocker used to manage physical symptoms of anxiety such as tachycardia or tremors. While it may help with hyperarousal symptoms, it is not considered a first-line treatment for PTSD.
Choice B reason: Paroxetine, an SSRI, is FDA-approved for PTSD and considered a first-line treatment. SSRIs target serotonin regulation, which helps reduce intrusive thoughts, hyperarousal, and avoidance symptoms. They are preferred due to efficacy and safety profile compared to other classes.
Choice C reason: Alprazolam is a benzodiazepine used for acute anxiety relief. It is not recommended for PTSD because of risks of dependence, tolerance, and lack of effectiveness in addressing core PTSD symptoms such as re-experiencing and avoidance.
Choice D reason: Carbamazepine is an anticonvulsant and mood stabilizer used in seizure disorders and bipolar disorder. It is not a first-line medication for PTSD and has limited evidence for efficacy in trauma-related disorders.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Dementia is not caused by lack of activity group participation. This statement is inaccurate and misleading.
Choice B reason: Activity groups are not limited to high-functioning clients. They are designed to provide stimulation and orientation for all residents, regardless of cognitive level.
Choice C reason: Excusing the client from groups without explaining their benefits disregards the therapeutic value of structured activities. It also undermines the nurse’s role in promoting holistic care.
Choice D reason: Activity groups provide sensory stimulation, social interaction, and reality orientation, which are essential for maintaining cognitive function and emotional well-being in long-term care residents. This is the most appropriate and therapeutic response.
Correct Answer is D
Explanation
Choice A reason: Mandated activities are not the primary therapeutic element of the milieu. While activities are scheduled, they are not mandated in a punitive sense. The purpose is therapeutic engagement, not compulsory participation.
Choice B reason: Visitor restrictions are not a central feature of the therapeutic milieu. Limiting visitors may occur for safety or treatment focus, but this is not the defining factor that supports stability in schizophrenia.
Choice C reason: Peer pressure is not a therapeutic mechanism in psychiatric care. While peer support can be beneficial, pressure is not a structured or intentional intervention.
Choice D reason: Structured programming is the key element provided in the milieu. Hospital environments offer predictable routines, scheduled activities, and consistent therapeutic interventions. This structure reduces stress, supports medication adherence, and minimizes triggers. The absence of such programming at home often leads to decompensation, as clients may lack routine and support.
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