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Questions and Answers
What is a common adverse effect associated with azaspirone therapy?
What is a common adverse effect associated with azaspirone therapy?
Why is it recommended to avoid combining azaspirones with alcohol?
Why is it recommended to avoid combining azaspirones with alcohol?
Which patient is most likely to benefit from benzodiazepine therapy for anxiety?
Which patient is most likely to benefit from benzodiazepine therapy for anxiety?
What instruction is most important for a nurse to give a patient newly prescribed alprazolam (Xanax)?
What instruction is most important for a nurse to give a patient newly prescribed alprazolam (Xanax)?
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What is a key characteristic of buspirone (BuSpar) regarding its potential for abuse?
What is a key characteristic of buspirone (BuSpar) regarding its potential for abuse?
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When should a patient expect to see signs of improvement after starting buspirone?
When should a patient expect to see signs of improvement after starting buspirone?
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What is a common side effect of benzodiazepines?
What is a common side effect of benzodiazepines?
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Why is smoking a concern for patients taking benzodiazepines?
Why is smoking a concern for patients taking benzodiazepines?
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What is the typical duration for safely tapering off antianxiety medications?
What is the typical duration for safely tapering off antianxiety medications?
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Which benzodiazepine is most commonly chosen for treating anxiety associated with alcohol withdrawal?
Which benzodiazepine is most commonly chosen for treating anxiety associated with alcohol withdrawal?
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Which medication is the primary choice for treating obsessive-compulsive disorder (OCD)?
Which medication is the primary choice for treating obsessive-compulsive disorder (OCD)?
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A patient reports experiencing increased anxiety and panic attacks after discontinuing their antianxiety medication. What is the likely reason for this?
A patient reports experiencing increased anxiety and panic attacks after discontinuing their antianxiety medication. What is the likely reason for this?
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Which of the following statements is TRUE about the use of benzodiazepines for anxiety?
Which of the following statements is TRUE about the use of benzodiazepines for anxiety?
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Which of the following assessment findings would indicate that a patient's anxiety level has improved after starting alprazolam (Xanax)?
Which of the following assessment findings would indicate that a patient's anxiety level has improved after starting alprazolam (Xanax)?
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A patient being treated for panic disorder with alprazolam (Xanax) reports feeling drowsy and having difficulty concentrating. What would be the appropriate nursing action?
A patient being treated for panic disorder with alprazolam (Xanax) reports feeling drowsy and having difficulty concentrating. What would be the appropriate nursing action?
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Which medication is commonly used as a non-benzodiazepine option for managing anxiety disorders?
Which medication is commonly used as a non-benzodiazepine option for managing anxiety disorders?
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A patient experiencing alcohol withdrawal is experiencing nausea and vomiting. Which route of administration is most appropriate for lorazepam in this situation?
A patient experiencing alcohol withdrawal is experiencing nausea and vomiting. Which route of administration is most appropriate for lorazepam in this situation?
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Which of the following is a therapeutic outcome that can be observed in a patient with generalized anxiety disorder who is receiving anxiolytic medication and group therapy?
Which of the following is a therapeutic outcome that can be observed in a patient with generalized anxiety disorder who is receiving anxiolytic medication and group therapy?
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Which of the following medication is NOT an anxiolytic?
Which of the following medication is NOT an anxiolytic?
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Which of the following statements about Buspirone is TRUE?
Which of the following statements about Buspirone is TRUE?
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Which of the following actions should be the priority when caring for a patient who is expressing suicidal thoughts?
Which of the following actions should be the priority when caring for a patient who is expressing suicidal thoughts?
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Which of the following substances can increase the toxic effects of benzodiazepines?
Which of the following substances can increase the toxic effects of benzodiazepines?
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Which of the following is a potential side effect of benzodiazepine use?
Which of the following is a potential side effect of benzodiazepine use?
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Which of the following is true about therapeutic outcomes specific for a patient with Generalized Anxiety Disorder?
Which of the following is true about therapeutic outcomes specific for a patient with Generalized Anxiety Disorder?
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What is a potential risk associated with benzodiazepine use during pregnancy?
What is a potential risk associated with benzodiazepine use during pregnancy?
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Which of the following is a reason why benzodiazepines are not recommended for breastfeeding mothers?
Which of the following is a reason why benzodiazepines are not recommended for breastfeeding mothers?
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What is a common symptom of benzodiazepine withdrawal in newborns?
What is a common symptom of benzodiazepine withdrawal in newborns?
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Which statement about benzodiazepine use during pregnancy is TRUE?
Which statement about benzodiazepine use during pregnancy is TRUE?
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What is a key aspect of benzodiazepine pharmacokinetics during pregnancy?
What is a key aspect of benzodiazepine pharmacokinetics during pregnancy?
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What are potential signs that an anti-anxiety therapy is working effectively for a patient with generalized anxiety disorder?
What are potential signs that an anti-anxiety therapy is working effectively for a patient with generalized anxiety disorder?
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Which of the following substances can potentially increase the toxic effects of benzodiazepines?
Which of the following substances can potentially increase the toxic effects of benzodiazepines?
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Which of the following is NOT a therapeutic outcome of hydroxyzine (Vistaril)?
Which of the following is NOT a therapeutic outcome of hydroxyzine (Vistaril)?
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What is a key assessment to include when evaluating a patient with anxiety?
What is a key assessment to include when evaluating a patient with anxiety?
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Which of the following would NOT be considered a primary therapeutic outcome of antianxiety medication?
Which of the following would NOT be considered a primary therapeutic outcome of antianxiety medication?
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Which of the following substances would be most likely to interact negatively with benzodiazepines?
Which of the following substances would be most likely to interact negatively with benzodiazepines?
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Hydroxyzine (Vistaril) is primarily used for which of the following therapeutic purposes?
Hydroxyzine (Vistaril) is primarily used for which of the following therapeutic purposes?
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Which of the following assessments would be LEAST relevant for a patient diagnosed with generalized anxiety disorder?
Which of the following assessments would be LEAST relevant for a patient diagnosed with generalized anxiety disorder?
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What is the most important nursing action when a patient states, "I wish I were dead. I just want to kill myself."?
What is the most important nursing action when a patient states, "I wish I were dead. I just want to kill myself."?
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Which of the following is TRUE regarding psychological drug dependence?
Which of the following is TRUE regarding psychological drug dependence?
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What is the MOST important instruction for a nurse to teach a patient who has recently been prescribed buspirone (BuSpar)?
What is the MOST important instruction for a nurse to teach a patient who has recently been prescribed buspirone (BuSpar)?
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Which of these is NOT a typical sign of benzodiazepine withdrawal in an infant?
Which of these is NOT a typical sign of benzodiazepine withdrawal in an infant?
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Which of these is the most appropriate route of administration for lorazepam in a patient experiencing nausea and vomiting due to alcohol withdrawal?
Which of these is the most appropriate route of administration for lorazepam in a patient experiencing nausea and vomiting due to alcohol withdrawal?
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Which is the drug of choice to treat a patient with obsessive-compulsive disorder (OCD)?
Which is the drug of choice to treat a patient with obsessive-compulsive disorder (OCD)?
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What is the typical outcome statement for a patient suffering from anxiety disorder?
What is the typical outcome statement for a patient suffering from anxiety disorder?
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Flashcards
CNS Depression with Alcohol
CNS Depression with Alcohol
Combining alcohol with CNS depressants may enhance drowsiness and dizziness.
Azaspirones Adverse Effects
Azaspirones Adverse Effects
Common side effects include dizziness, nervousness, and drowsiness, without addiction risk.
Anxiety Treatment Response
Anxiety Treatment Response
Recent anxiety reactions respond better to benzodiazepines than long-term anxiety.
Benzodiazepine Usage
Benzodiazepine Usage
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Alprazolam (Xanax) Instruction
Alprazolam (Xanax) Instruction
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Smoking and Benzodiazepines
Smoking and Benzodiazepines
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Buspirone (BuSpar) Potential for Abuse
Buspirone (BuSpar) Potential for Abuse
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Duration for Buspirone Effect
Duration for Buspirone Effect
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Benzodiazepines in breastfeeding
Benzodiazepines in breastfeeding
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Withdrawal signs in infants
Withdrawal signs in infants
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Obsessive-Compulsive Disorder (OCD) treatment
Obsessive-Compulsive Disorder (OCD) treatment
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Buspirone (BuSpar) properties
Buspirone (BuSpar) properties
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Suicidal thoughts patient care
Suicidal thoughts patient care
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Lorazepam administration in withdrawal
Lorazepam administration in withdrawal
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Psychological drug dependence
Psychological drug dependence
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Buspirone onset of action
Buspirone onset of action
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Tapering antianxiety medications
Tapering antianxiety medications
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Oxazepam (Serax)
Oxazepam (Serax)
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Fluvoxamine (Luvox)
Fluvoxamine (Luvox)
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Primary outcome of benzodiazepines
Primary outcome of benzodiazepines
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Withdrawal supervision
Withdrawal supervision
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Active metabolites in benzodiazepines
Active metabolites in benzodiazepines
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Assessment finding for Alprazolam therapy
Assessment finding for Alprazolam therapy
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Lorazepam (Ativan) in OCD
Lorazepam (Ativan) in OCD
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Buspirone
Buspirone
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Suicidal ideation intervention
Suicidal ideation intervention
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Lorazepam administration
Lorazepam administration
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Measures of therapeutic outcomes
Measures of therapeutic outcomes
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Somatic complaints
Somatic complaints
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Toxic effects of benzodiazepines
Toxic effects of benzodiazepines
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Generalized anxiety disorder (GAD)
Generalized anxiety disorder (GAD)
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Nonstimulating environment
Nonstimulating environment
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Blood glucose level in anxiety diagnosis
Blood glucose level in anxiety diagnosis
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Benzodiazepines and pregnancy
Benzodiazepines and pregnancy
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Effects of benzodiazepines on infants
Effects of benzodiazepines on infants
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Benzodiazepines and fetal circulation
Benzodiazepines and fetal circulation
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Therapeutic outcomes of anxiety treatment
Therapeutic outcomes of anxiety treatment
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Signs of improved medication effect
Signs of improved medication effect
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Substances increasing benzodiazepine toxicity
Substances increasing benzodiazepine toxicity
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Therapeutic uses of hydroxyzine
Therapeutic uses of hydroxyzine
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Effect of benzodiazepines with alcohol
Effect of benzodiazepines with alcohol
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Evaluating anxiety patients
Evaluating anxiety patients
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Hydroxyzine in preoperative care
Hydroxyzine in preoperative care
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Somatic complaints in anxiety
Somatic complaints in anxiety
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Study Notes
Pharm Final Exam Chapter 15: Antianxiety Medications
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Tapering Antianxiety Medications: Withdrawal should be gradual, over 1 month, under a healthcare provider's supervision. A week is insufficient, while 6 months to 1 year is excessive.
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Benzodiazepine for Alcohol Withdrawal: Oxazepam is the preferred benzodiazepine for anxiety associated with alcohol withdrawal. It has no active metabolites.
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Obsessive Compulsive Disorder (OCD) Treatment: Fluvoxamine is the drug of choice for treating OCD. It prolongs serotonin activity.
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Anxiety Disorder Outcome: A patient exhibiting manageable anxiety after one week of alprazolam treatment signifies that the outcome has been met. Indicators include improved sleep, increased interest in activities, and ability to participate in activities, but lack of these indicators shows the outcome hasn't been met.
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Psychological Drug Dependence: Psychological dependence is a difficult condition to treat, requiring professional medical intervention, and is not easy to control by influencing the patient's perceptions. It's not as easily treated as physiological dependence.
Patient Education and Discharge Planning
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Anti-anxiety Medication Teaching: Information about the medication, including the monitoring system, possible dependence, and instructions of usage should be discussed with patients and their families.
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Azaspirone Antidepressant Caution: Caution patients about the potential for dizziness, nervousness, drowsiness, and lightheadedness, and advise against combining with alcohol.
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Benzodiazepine Therapy: Patients experiencing recent anxiety reactions are better candidates for benzodiazepines. Patients with long-term anxiety, severe depression, or auditory hallucinations may not respond as well.
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Lorazepam Dosage: Intramuscular administration is the preferred method for lorazepam in patients with alcohol withdrawal and nausea or vomiting.
Psychiatric Patient Safety
- Patient Safety Priority: In a psychiatric patient experiencing suicidal ideation, the priority intervention is ensuring patient safety. This addresses their immediate safety risk and helps the nursing team establish a trusting relationship. Establishing this relationship is critical to help the patient.
Anxiety Disorder Evaluation
- Comprehensive Evaluation: Medical evaluation, psychological assessment, history of triggering events, medication history, and substance use should be included in the examination of a patient with anxiety. Blood glucose level is not typically part of a routine anxiety assessment.
Prenatal Benzodiazepines
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Benzodiazepine Use in Pregnancy: Benzodiazepines are not safe during pregnancy. They readily cross the placenta and can potentially cause harm to the developing fetus.
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Lactation: Benzodiazepines can be present in breast milk and have a potential impact on the infant's health.
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Description
This quiz covers key topics related to antianxiety medications, including tapering methods, specific medications for alcohol withdrawal and OCD, and indicators of treatment outcomes. It provides an overview of the psychological dependence associated with these drugs and their management.