A patient describes feelings of anxiety and fear when speaking in front of an audience and is having difficulty at work because of an inability to present information at meetings three or four times each year
The patient is reluctant to take long-term medications. The nurse will expect the provider to order which treatment?
a. Alprazolam (Xanax) as needed
b. Cognitive behavioral therapy
c. Paroxetine (Paxil)
d. Psychotherapy
ANS: A
This patient is describing social anxiety disorder; the symptoms are related to performance only and are not generalized to all social situations. Because this patient must speak in front of an audience only three or four times per year, a PRN medication can be used. Cognitive behavioral therapy is used for OCD. Paroxetine must be used continuously for at least 1 year. Psychotherapy can be used but is more effective when used in combination with drugs.
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