Although serotonin reuptake inhibitors (SSRIs) are used more commonly now to treat anxiety disorders than are benzodiazepines, for which patient situation does the nurse expect a benzo-diazepine to be prescribed instead of an SSRI?
a. The patient is 18 years old.
b. Anxiety has been present daily for 6 months.
c. The patient has compulsive repetitive actions.
d. The anxiety attack is severe with hallucinations.
D
Benzodiazepines, even when given orally, act within 30 minutes of administration. SSRIs need to build up to a certain blood level and may take as long as 3 to 5 weeks to reduce anxiety. When an anxiety attack is sudden or severe, a benzodiazepine may be most helpful, even if it is just given once.
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The nurse is completing her assessment of an older adult and notices some cognitive impairment not normally associated with aging. Which of these alterations would prompt further follow-up? (Select all that apply.)
a. The patient does not remember where her son lives. b. The patient is unable to balance her checkbook. c. The patient got lost in a city she never traveled to before. d. The patient often has difficulty remembering words. e. The patient got lost going to her usual grocery store.
For which client should the oxytocin (Pitocin) infusion be discontinued immediately?
a. Joan, in active labor with contractions every 3 minutes lasting 60 seconds each b. Mary, in transition with contractions every 2 minutes lasting 90 seconds each c. Nancy, in active labor with contractions every 2 to 3 minutes lasting 70 to 80 seconds each d. Amy, in early labor with contractions every 5 minutes lasting 40 seconds each
The nurse is performing an admitting assessment on a patient who has been diagnosed with depression. What is the purpose of this process?
1. Determine mutual goals of care. 2. Identify patient information and history. 3. Establish and document the nursing diagnosis. 4. Establish a therapeutic nurse-patient relationship.
The nurse is planning to utilize the nursing theory that supports the paradigm shift occurring in nursing today. The theory that supports this paradigm shift was developed by which of the following?
a. Imogene King c. Sister Callista Roy b. Rosemarie Parse d. Betty Neuman