A patient who has been taking alprazolam [Xanax] to treat generalized anxiety disorder (GAD) reports recently stopping the medication after symptoms have improved but reports having feel-ings of panic and paranoia
Which initial action by the nurse is correct? a. Ask the patient if the medication was stopped abruptly.
b. Instruct the patient to resume taking the alprazolam.
c. Notify the provider that the patient is ex-periencing a relapse.
d. Suggest that the patient discuss taking buspirone [Buspar] with the provider.
A
Long-term use of benzodiazepines can cause physical dependence, with symptoms of panic, pa-ranoia, and delirium occurring with abrupt withdrawal. These symptoms can be confused with symptoms of relapse of anxiety, so the nurse should evaluate this by first asking about how the medication was discontinued. If the symptoms are caused by a relapse, the patient should resume taking the alprazolam. Buspirone is not indicated.
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a. "I'm sure it is just temporary. If you just visit a tanning salon, the depression will be relieved more quickly.".
b. "As your friend I cannot advise you. You need to see a psychiatrist. Remember, the longer you wait, the worse depression becomes.".
c. "It may be that you aren't getting enough sunlight working the night shift. I'd suggest you discuss the possibility of phototherapy with your health care provider.".
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