A patient tells the primary care NP about having difficulty giving presentations at work. The patient experiences anxiety and often feels faint or vomits. The NP should:
a. prescribe buspirone.
b. prescribe alprazolam.
c. order a selective serotonin reuptake inhibitor (SSRI) antidepressant.
d. recommend cognitive-behavioral therapy.
D
The patient is describing a phobic disorder. Cognitive-behavioral therapy is recommended as first-line treatment, with SSRI medications as adjunct therapy.
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A nurse coworker, who has been working with a child and his family, asks you for advice about buying a gift for the child and the family. Which of the following would be the best advice you could give this nurse?
a. Do not buy them a gift unless they buy you one first. b. If you buy a gift, be certain that it is a small token only. c. Not giving gifts or receiving them is part of being professional. d. You should not buy gifts, but it is all right to receive them.
The nursing instructor is teaching student nurses about how the median effective dose of a medication is related to clinical practice. Which statement reflects the correct understanding by the student?
1. "About 50% of clients will experience severe side effects from the drug." 2. "About 50% of clients will not experience any effect from the drug." 3. "Some clients will respond differently, depending on their ethnic background." 4. "Some clients will require more or less than the average dose of the drug."
Immobility is a serious risk factor for older adults. Immobility can result in all of the following except
a. Bone dissolution b. A decrease in muscle strength equal to 5% per day c. Parkinson's disease d. Joint stiffness and decreased range of motion
The nurse is caring for a 2-year-old girl who is wheezing and has difficulty breathing. Which interview question would provide the most useful information related to the symptoms of the child?
A) Inquiring about child safety in the home B) Asking about the temperament of the child C) Asking about the child's diet D) Asking the parents if they smoke in the home