Antianxiety Drug Quiz

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Questions and Answers

Match the following medications with their potential adverse effects:

Benzodiazepine = Increased RBC count Hydroxyzine = Impaired liver function Chlordiazepoxide = Constipation

Match the following nursing actions with their corresponding learning objectives:

Differentiate between a sedative and a hypnotic = Explain the uses, general drug actions, adverse reactions, contraindications, precautions, and interactions of sedatives and hypnotics Perform ongoing assessment activities with the client taking a sedative or hypnotic = List nursing diagnoses particular to a client taking a sedative or hypnotic

Match the following client conditions with their corresponding medications:

Anxiety = Benzodiazepine Impaired liver function = Hydroxyzine Constipation = Chlordiazepoxide

Match the following client statements with their corresponding medication effects:

Client reports a decrease in feelings of anxiety = Benzodiazepine Client reports comfort without increased GI distress = Hydroxyzine Client manages coping effectively = Chlordiazepoxide Signup and view all the answers

Match the following stages of Alzheimer's disease with their corresponding descriptions:

Stage 1 = No cognitive changes, but brain changes detectable on an MRI Stage 2 = Mild cognitive decline, including memory lapses and difficulty finding words Stage 3 = Moderate cognitive decline, including increased memory loss, confusion, and difficulty with daily tasks Signup and view all the answers

Match the following signs with the correct cognitive problem:

Sudden onset = Delirium Progressive changes = Dementia Signup and view all the answers

Match the following locations with their suitability for placing a cholinesterase inhibitor transdermal patch:

Upper arm = Easily removable by the client Side of thigh = Easily accessible and removable by the client Chest = Difficult for the client to remove Lower back = Difficult for the client to reach Signup and view all the answers

Match the following learning objectives with their corresponding topics in the text:

Learning Objective 1 = Uses, general drug actions, general adverse reactions, contraindications, precautions, and interactions associated with the administration of antianxiety drugs Learning Objective 2 = Important preadministration and ongoing assessment activities the nurse should perform on the client taking an antianxiety drug Learning Objective 3 = Nursing diagnoses particular to a client taking an antianxiety drug Learning Objective 4 = Promoting an optimal response to therapy, managing common adverse reactions, and educating clients about the use of antianxiety drugs Signup and view all the answers

Match the following terms with their definitions:

Dementia = A general term used for a variety of diseases and conditions that involve decrease in cognitive functioning Antidementia Drugs = Drugs used to treat dementia Alzheimer's Disease = A specific type of dementia characterized by memory loss and cognitive decline Nursing Diagnoses = Specific health problems that can be identified and treated by a nurse Signup and view all the answers

Match the following elements with their associated topics:

Clinical Manifestations = Alzheimer's disease Drug Actions = Antidementia drugs Assessment Activities = Client taking an antidementia drug Optimal Response to Therapy = Use of antidementia drugs Signup and view all the answers

Match the following terms with their related information:

Adverse Reactions = Negative effects that may occur when taking a drug Contraindications = Specific situations in which a drug should not be used Precautions = Measures taken to prevent harm or injury Interactions = Effects that occur when two or more drugs are taken together Signup and view all the answers

Match the following actions of antidementia drugs with their correct descriptions:

Cholinesterase Inhibitors = Increase the levels of acetylcholine in the central nervous system by inhibiting its breakdown and slowing neural destruction NMDA Receptor Antagonist = Decreases the excitability of neurotransmission caused by an excess of the amino acid glutamate in the central nervous system Donepezil = An example of a Cholinesterase Inhibitor Memantine = An example of a NMDA Receptor Antagonist Signup and view all the answers

Match the stages of Alzheimer Disease progression with their correct descriptions:

Preclinical = Early stage with no symptoms, but brain changes are occurring Mild cognitive impairment = Stage with mild memory or cognitive problems that may or may not progress to dementia Mild = Stage with early memory and cognitive decline, but still able to live independently Severe = Stage with severe memory and cognitive decline, requiring full-time care Signup and view all the answers

Match the following adverse reactions with their correct descriptions for clients receiving antidementia drugs:

Anorexia = Loss of appetite Confusion = Mental state characterized by disorientation and lack of clarity Nausea = Feeling of sickness or discomfort in the stomach with an inclination to vomit Dizziness = Feeling of being lightheaded, unsteady, or faint Signup and view all the answers

Match the following contraindications and precautions with their correct descriptions for clients receiving antidementia drugs:

Known hypersensitivity to the drugs = Allergic reaction to the medication Renal disease, bladder obstruction = Conditions that require cautious use of the medication Confusion from delirium = A state of mental confusion that develops quickly and is usually temporary Pregnancy and lactation = Stages of life where the use of the medication is contraindicated Signup and view all the answers

Match the following steps of the nursing process with their descriptions:

Pre-administration Assessment = Involves reviewing the chart for drugs that may cause changes in mental health Ongoing Assessment = Includes both mental and physical assessment, often using standardized assessment tools or instruments Nursing Diagnoses = Involves identifying potential risks or issues such as malnutrition or injury risk Planning = Involves setting expected client outcomes, such as optimal response to therapy or absence of injury Signup and view all the answers

Match the following implementation steps with their actions:

Promoting Optimal Response to Therapy = Involves monitoring vitals signs and complete other assessments to determine if the changes in cognition are due to delirium rather than dementia Monitoring and Managing Client Needs = Involves attention to dosing of medications to decrease adverse GI reactions and promote nutrition, as well as providing appropriate assistive devices for ambulation Applying transdermal forms of antidementia drugs = To a new, clean, dry, hairless area of the body that the client cannot easily reach Keep mealtime simple and calm = And offer client well-balanced foods that are easy to chew and digest Signup and view all the answers

Match the following descriptions with the correct steps of the nursing process:

Comparison of client and family member report of ability to perform activities of daily living and self-care = Pre-administration Assessment Effects of antidementia drugs may take several weeks = Ongoing Assessment Management of common adverse drug reactions = Planning Continue cholinesterase inhibitors during hospitalization = Implementation Signup and view all the answers

Match the following actions with the correct steps of the nursing process:

Review the chart for drugs that may cause changes in mental health = Pre-administration Assessment Initial assessments will be compared with ongoing assessments to monitor client’s improvement after taking antidementia drugs = Ongoing Assessment Apply transdermal forms of antidementia drugs to a new, clean, dry, hairless area of the body that the client cannot easily reach = Implementation Keep mealtime simple and calm; offer client well-balanced foods that are easy to chew and digest = Monitoring and Managing Client Needs Signup and view all the answers

Match the following classes of sedatives and hypnotics with their examples:

Barbiturates = Used for deep, nonwaking sleep and assisted suicide Benzodiazepines = Temezepam; Triazolam Nonbenzodiazepines = Eszopiclone; Zolpidem Signup and view all the answers

Match the following actions of sedatives and hypnotics with the correct drug class:

CNS depression and mood alterations = Barbiturates Effect on gamma-aminobutyric acid (GABA) to potentiate neural inhibition = Benzodiazepines Group of unrelated drugs that all provide some level of CNS depression = Nonbenzodiazepines Signup and view all the answers

Match the following adverse reactions with the correct drug class:

Nervous system reactions such as dizziness, drowsiness, and headache = All sedatives and hypnotics GI system reaction—nausea, heartburn = All sedatives and hypnotics Signup and view all the answers

Match the following contraindications with the correct drug class:

Known hypersensitivity to sedatives or hypnotics = All sedatives and hypnotics Coma = All sedatives and hypnotics Severe respiratory problems = All sedatives and hypnotics Signup and view all the answers

Match the following precautions with the correct drug class:

Lactation = All sedatives and hypnotics Hepatic or renal impairment = All sedatives and hypnotics Habitual alcohol use = All sedatives and hypnotics Signup and view all the answers

Match the following uses with the correct drug class:

Insomnia = All sedatives and hypnotics Convulsions or seizures = All sedatives and hypnotics Preoperative sedation = All sedatives and hypnotics Conscious sedation = All sedatives and hypnotics Signup and view all the answers

Match the following antianxiety drugs with their primary actions:

Benzodiazepines = Potentiate the effects of gamma aminobutyric acid (GABA) Nonbenzodiazepines = Act on serotonin receptors Buspirone = Act on serotonin receptors Hydroxyzine = Act on the hypothalamus and brainstem reticular formation Signup and view all the answers

Match the following adverse reactions with their associated antianxiety drugs:

Mild drowsiness, sedation, lightheadedness = Antianxiety drugs in general Headache, constipation, disorientation = Antianxiety drugs in general Anger, restlessness, nausea = Antianxiety drugs in general Visual disturbances = Antianxiety drugs in general Signup and view all the answers

Match the following contraindications with the corresponding conditions:

Known hypersensitivity to the drugs = Contraindication for all antianxiety drugs Pregnancy, labor, lactation = Contraindication for all antianxiety drugs Acute narrow-angle glaucoma = Contraindication for all antianxiety drugs Acute alcoholic intoxication with low vital signs = Contraindication for all antianxiety drugs Signup and view all the answers

Match the following nursing assessments with their corresponding aspects for clients receiving antianxiety drugs:

General appearance, vital signs, behavior = Initial assessment Blood pressure, mental status, anxiety level = Ongoing assessment Adverse effects, improvement or decline of outward behavior = Ongoing assessment Medical history, drug/alcohol use = Initial assessment Signup and view all the answers

Study Notes

Antianxiety Drugs and their Uses: Important Considerations for Nurses

Anxiety is a common condition that can interfere with daily activities and may require treatment.
Antianxiety medications, also known as anxiolytics, are used to treat anxiety by blocking neurotransmitter receptor sites.
Benzodiazepines, such as diazepam, potentiate the effects of gamma aminobutyric acid (GABA).
Nonbenzodiazepines, like buspirone and hydroxyzine, act on serotonin receptors and the hypothalamus and brainstem reticular formation, respectively.
Antianxiety drugs are used to treat isolated episodes of intense anxiety, severe functional impairment, preanesthetic sedation, muscle relaxation, convulsions, seizures, and alcohol withdrawal.
Common adverse reactions of antianxiety drugs include mild drowsiness, sedation, lightheadedness, dizziness, headache, lethargy, constipation, disorientation, anger, restlessness, nausea, dry mouth, and visual disturbances.
Long-term use of benzodiazepines can lead to physical dependence and tolerance, and abrupt discontinuation should be avoided to prevent withdrawal symptoms.
Antianxiety drugs are contraindicated in clients with known hypersensitivity to the drugs, psychosis, acute narrow-angle glaucoma, pregnancy, labor, lactation, coma, shock, and acute alcoholic intoxication with low vital signs.
Caution should be exercised when using antianxiety drugs in elderly clients, those with impaired liver or kidney function, and those who are debilitated.
Antianxiety drugs may interact with other medications and should be used cautiously in conjunction with other drugs.
Nurses should assess clients receiving antianxiety drugs for general appearance, vital signs, behavior, anxiety level, coping mechanisms, medical history, and drug/alcohol use.
Ongoing assessment should include monitoring blood pressure, mental status, anxiety level, adverse effects, improvement or decline of outward behavior, and adverse reactions.
Nursing diagnoses for clients receiving antianxiety drugs may include injury risk, impaired comfort, and coping impairment.
Nursing interventions include promoting optimal therapy response, monitoring and managing client needs (injury risk, impaired comfort), educating the client and family, and evaluating the therapeutic effect achieved.

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Description

Test your knowledge on antianxiety drugs and their uses with this informative quiz. Learn about important considerations for nurses when administering these medications and gain a better understanding of their potential adverse effects and contraindications.