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Questions and Answers
A patient is struggling to manage their anxiety despite showing improved physical signs. They are unable to participate in group therapy and continue to experience persistent fears. What might this indicate about their anxiety?
A patient is struggling to manage their anxiety despite showing improved physical signs. They are unable to participate in group therapy and continue to experience persistent fears. What might this indicate about their anxiety?
Which of the following statements is true regarding psychological drug dependence?
Which of the following statements is true regarding psychological drug dependence?
A nurse is educating a patient and their significant other about antianxiety medication before discharge. What is the most important information to include in the teaching plan?
A nurse is educating a patient and their significant other about antianxiety medication before discharge. What is the most important information to include in the teaching plan?
When educating a patient about azaspirone antidepressant medication, what should the nurse caution the patient about?
When educating a patient about azaspirone antidepressant medication, what should the nurse caution the patient about?
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Why should the nurse not emphasize dependence when educating a patient about antianxiety medications?
Why should the nurse not emphasize dependence when educating a patient about antianxiety medications?
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What is the primary goal of the nurse's education about antianxiety medication?
What is the primary goal of the nurse's education about antianxiety medication?
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Why is it important for family members or significant others to participate in discussions about antianxiety medication?
Why is it important for family members or significant others to participate in discussions about antianxiety medication?
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A patient is being discharged on antianxiety medication. What should the nurse emphasize regarding written instructions?
A patient is being discharged on antianxiety medication. What should the nurse emphasize regarding written instructions?
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Which of the following statements about benzodiazepines during pregnancy is true?
Which of the following statements about benzodiazepines during pregnancy is true?
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What should be monitored in infants if their mothers took benzodiazepines during pregnancy?
What should be monitored in infants if their mothers took benzodiazepines during pregnancy?
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In what condition is the measurement of blood glucose levels relevant in anxiety patients?
In what condition is the measurement of blood glucose levels relevant in anxiety patients?
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Which of the following statements about benzodiazepines and breastfeeding is accurate?
Which of the following statements about benzodiazepines and breastfeeding is accurate?
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Which of the following best describes the administration of benzodiazepines during pregnancy?
Which of the following best describes the administration of benzodiazepines during pregnancy?
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Which of the following substances may cause excessive sedation when taken with benzodiazepines?
Which of the following substances may cause excessive sedation when taken with benzodiazepines?
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What additional therapeutic effect does hydroxyzine provide besides relieving anxiety?
What additional therapeutic effect does hydroxyzine provide besides relieving anxiety?
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Which assessment is necessary in the evaluation of a patient with anxiety?
Which assessment is necessary in the evaluation of a patient with anxiety?
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What is true about the use of benzodiazepines during pregnancy?
What is true about the use of benzodiazepines during pregnancy?
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Which of the following is NOT a therapeutic outcome of hydroxyzine?
Which of the following is NOT a therapeutic outcome of hydroxyzine?
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Which patient history is relevant during an anxiety evaluation?
Which patient history is relevant during an anxiety evaluation?
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Why should breastfeeding mothers be cautious about taking benzodiazepines?
Why should breastfeeding mothers be cautious about taking benzodiazepines?
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Which of the following statements about the evaluation of anxiety is false?
Which of the following statements about the evaluation of anxiety is false?
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Which adverse effects are most commonly associated with azaspirone therapy?
Which adverse effects are most commonly associated with azaspirone therapy?
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Which patient demographic is expected to experience the fastest response to benzodiazepine therapy?
Which patient demographic is expected to experience the fastest response to benzodiazepine therapy?
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What is a crucial instruction for a patient starting alprazolam (Xanax)?
What is a crucial instruction for a patient starting alprazolam (Xanax)?
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What key point should be included in education about buspirone (BuSpar)?
What key point should be included in education about buspirone (BuSpar)?
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How does smoking affect the dosage of benzodiazepines?
How does smoking affect the dosage of benzodiazepines?
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Why should azaspirones not be combined with alcohol or sedatives?
Why should azaspirones not be combined with alcohol or sedatives?
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What are the characteristics of long-term anxiety treatment compared to benzodiazepines?
What are the characteristics of long-term anxiety treatment compared to benzodiazepines?
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What is the expected time before a patient notices signs of improvement while taking buspirone?
What is the expected time before a patient notices signs of improvement while taking buspirone?
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Which of the following assessment(s) would be helpful in evaluating a patient with anxiety?
Which of the following assessment(s) would be helpful in evaluating a patient with anxiety?
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Which of these symptoms is NOT a sign of decreased anxiety in a patient with generalized anxiety disorder?
Which of these symptoms is NOT a sign of decreased anxiety in a patient with generalized anxiety disorder?
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Which of the following substances can potentiate the toxic effects of benzodiazepines?
Which of the following substances can potentiate the toxic effects of benzodiazepines?
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Which of the following is a therapeutic outcome associated with hydroxyzine (Vistaril) apart from its antianxiety effects?
Which of the following is a therapeutic outcome associated with hydroxyzine (Vistaril) apart from its antianxiety effects?
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Which of the following would indicate a positive therapeutic outcome for a patient with generalized anxiety disorder receiving antianxiety medication and group therapy?
Which of the following would indicate a positive therapeutic outcome for a patient with generalized anxiety disorder receiving antianxiety medication and group therapy?
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What is the primary goal of antianxiety medication in treating generalized anxiety disorder?
What is the primary goal of antianxiety medication in treating generalized anxiety disorder?
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Hydroxyzine (Vistaril) is used in pre-operative care to achieve which of the following effects?
Hydroxyzine (Vistaril) is used in pre-operative care to achieve which of the following effects?
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Which of the following is NOT a potential side effect associated with the use of benzodiazepines?
Which of the following is NOT a potential side effect associated with the use of benzodiazepines?
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What is the recommended duration for gradually tapering antianxiety medications before discontinuation?
What is the recommended duration for gradually tapering antianxiety medications before discontinuation?
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Which benzodiazepine is the preferred choice for managing anxiety associated with alcohol withdrawal?
Which benzodiazepine is the preferred choice for managing anxiety associated with alcohol withdrawal?
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Which medication is the first-line treatment for obsessive-compulsive disorder (OCD)?
Which medication is the first-line treatment for obsessive-compulsive disorder (OCD)?
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A patient reports that they experience heightened anxiety and excessive drinking during family reunions. This information suggests which of the following?
A patient reports that they experience heightened anxiety and excessive drinking during family reunions. This information suggests which of the following?
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Which of the following statements about the benzodiazepine antianxiety agents is TRUE?
Which of the following statements about the benzodiazepine antianxiety agents is TRUE?
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Which of the following benzodiazepines is NOT considered ideal for treating anxiety associated with alcohol withdrawal due to the presence of active metabolites?
Which of the following benzodiazepines is NOT considered ideal for treating anxiety associated with alcohol withdrawal due to the presence of active metabolites?
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Which of the following assessment findings suggests that a patient's anxiety is NOT at a manageable level?
Which of the following assessment findings suggests that a patient's anxiety is NOT at a manageable level?
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Which of the following medications is LEAST likely to be effective in treating obsessive-compulsive disorder (OCD)?
Which of the following medications is LEAST likely to be effective in treating obsessive-compulsive disorder (OCD)?
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Flashcards
Coping with Anxiety
Coping with Anxiety
Improving strategies to manage anxiety symptoms effectively.
Psychological Drug Dependence
Psychological Drug Dependence
Need for a substance due to psychological factors, often harder to treat.
Medical Intervention
Medical Intervention
Professional treatment is necessary for managing psychological drug dependence.
Patient Education on Medications
Patient Education on Medications
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Behavior Monitoring
Behavior Monitoring
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Family Involvement
Family Involvement
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Written Instructions
Written Instructions
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Azaspirone Antidepressant Caution
Azaspirone Antidepressant Caution
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CNS Depression with Alcohol
CNS Depression with Alcohol
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Common Adverse Effects of Azaspirones
Common Adverse Effects of Azaspirones
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Azaspirone Abuse Potential
Azaspirone Abuse Potential
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Benzodiazepine Effectiveness
Benzodiazepine Effectiveness
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Long-term Anxiety Treatment
Long-term Anxiety Treatment
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Important Instruction for Alprazolam
Important Instruction for Alprazolam
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Buspirone Abuse Potential
Buspirone Abuse Potential
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Onset of Buspirone Effect
Onset of Buspirone Effect
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Tapering Antianxiety Medications
Tapering Antianxiety Medications
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Oxazepam in Alcohol Withdrawal
Oxazepam in Alcohol Withdrawal
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Fluvoxamine for OCD
Fluvoxamine for OCD
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Therapeutic Outcome for Alprazolam
Therapeutic Outcome for Alprazolam
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Active Metabolites
Active Metabolites
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Benzodiazepines Usage
Benzodiazepines Usage
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Assessment Validating Therapy
Assessment Validating Therapy
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Antihistamines
Antihistamines
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Withdrawal Supervision
Withdrawal Supervision
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Hydroxyzine Effects
Hydroxyzine Effects
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Benzodiazepines Risks
Benzodiazepines Risks
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Evaluation of Anxiety
Evaluation of Anxiety
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Excessive Sedation Causes
Excessive Sedation Causes
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Vitamins and Anxiety Meds
Vitamins and Anxiety Meds
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Clinical Effects of Hydroxyzine
Clinical Effects of Hydroxyzine
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Benzodiazepine Transfer Risks
Benzodiazepine Transfer Risks
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Therapeutic Outcomes in Anxiety
Therapeutic Outcomes in Anxiety
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Primary Expected Outcome of Anxiolytics
Primary Expected Outcome of Anxiolytics
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Substances Increasing Benzodiazepine Toxicity
Substances Increasing Benzodiazepine Toxicity
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Effects of Hydroxyzine
Effects of Hydroxyzine
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Assessment for Anxiety Evaluation
Assessment for Anxiety Evaluation
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Somatic Complaints in Anxiety
Somatic Complaints in Anxiety
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Role of Antihistamines with Benzodiazepines
Role of Antihistamines with Benzodiazepines
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Food and Mood
Food and Mood
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Benzodiazepine Risks in Pregnancy
Benzodiazepine Risks in Pregnancy
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Benzodiazepine and Breast Milk
Benzodiazepine and Breast Milk
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Fetal Circulation
Fetal Circulation
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Anxiety Patient Evaluation
Anxiety Patient Evaluation
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Withdrawal Symptoms in Infants
Withdrawal Symptoms in Infants
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Study Notes
Antianxiety Medication Withdrawal
- Antianxiety medications should be tapered gradually under supervision.
- A 1-week taper is insufficient; 1 month is recommended.
- 6 months to 1 year is unnecessarily long.
Benzodiazepines for Alcohol Withdrawal
- Oxazepam is the preferred benzodiazepine for treating anxiety associated with alcohol withdrawal.
- Lorazepam is another suitable choice.
- Chlordiazepoxide and clorazepate are not the first-line treatments for alcohol withdrawal anxiety.
Obsessive-Compulsive Disorder (OCD) Treatment
- Fluvoxamine is the drug of choice for OCD.
- It prolongs serotonin activity at nerve endings.
- It's used to manage obsessions and compulsions.
Anxiety Disorder Outcome Assessment
- A patient exhibiting manageable anxiety levels after 1 week of alprazolam therapy demonstrates a positive outcome.
- Validating assessment findings include sleeping better, increased interest in activities, and not reporting persistent fear or excessive/inappropriate coping mechanisms
Psychological Drug Dependence
- Psychological dependence requires medical intervention to treat.
- It's often more challenging to overcome than physical dependence.
- It is not an easy condition to control through influencing the patient's perceptions.
Patient Teaching for Anti-anxiety Medications
- Include validated behavior monitoring and intervention flow sheets for the patient and significant other to continue post-discharge.
- Educate about the possible risk of dependence associated with medication use.
- Verbal instructions must include supplementary written instructions for the patient to refer to after discharge.
Azaspirone Antidepressant Cautions
- Patients should be cautioned about the risk of dizziness, nervousness, drowsiness, and lightheadedness.
- Azaspirones do not carry the risk of abuse or addiction.
- Azaspirone should not be combined with alcohol or sedatives.
Benzodiazepine Therapy Response
- Patients with recent anxiety reactions will likely respond best to benzodiazepines compared to those with long-term, chronic, or severe anxiety or co-morbidities such as depression or psychosis.
Lorazepam Route for Alcohol Withdrawal
- Intramuscular administration is the preferable route of administration for lorazepam if the condition causes nausea, vomiting, or if the patient can not tolerate oral medications.
Generalized Anxiety Disorder Evaluation
- Evaluating therapeutic effectiveness should assess factors such as improved sleep, decreased anxiety symptoms (tremors, pacing etc.), and increased involvement in group sessions to demonstrate positive therapeutic outcomes.
Benzodiazepine Side Effects
- Possible side effects of benzodiazepine medication include dizziness, lightheadedness, and issues with hypotension on rising
- Benzodiazepines may be affected by the use of other drugs such as antihistamines, other sedatives, analgesics, or hypnotics.
- Smoking may necessitate dosage adjustments.
Substance Use Assessment in Anxiety Disorders
- Comprehensive assessment must include physical examination, psychological evaluation, history of previous stressors, substance abuse history and medication history to create a complete patient history.
Benzodiazepines during Pregnancy and Lactation
- Benzodiazepines should be avoided during the first trimester of pregnancy due to possible birth defects
- They cross the placental barrier and enter fetal circulation.
- Benzodiazepines should be used cautiously, if at all during lactation
- Breastfed infants may show signs of withdrawal from exposure to the drug in the mother's breastmilk.
- Infants whose mothers used the medications while pregnant require careful monitoring after delivery.
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Description
This quiz evaluates understanding of antianxiety medications, their dependence potential, and the importance of family involvement in patient education. It covers vital information nurses need to impart when discharging patients on such medications. Test your knowledge on proper teaching techniques and addressing patient concerns.