The nurse should identify that an appropriate treatment for clients diagnosed with GAD is long-term treatment with buspirone. Buspirone is an anxiolytic medication that is effective in 60% to 80% of clients with GAD. It takes 10 to 14 days for alleviation of symptoms but does not have the dependency concerns of other anxiolytics.
Full Answer
What is the appropriate treatment for clients diagnosed with Gad?
Rationale: The nurse should identify that an appropriate treatment for clients diagnosed with GAD is long-term treatment with buspirone. Buspirone is an anxiolytic medication that is effective in 60% to 80% of clients diagnosed with GAD.
What are the nursing interventions for generalized anxiety disorder (GAD)?
5. Which treatment should a nurse identify as most appropriate for clients diagnosed with generalized anxiety disorder (GAD)? Long-term treatment with buspirone (BuSpar) 6. A client refuses to go on a cruise to the Bahamas with his spouse because of fearing that the cruise ship will sink and all will drown.
What should a campus nurse expect a college student with Gad to exhibit?
Rationale: The nurse should identify that an appropriate treatment for clients diagnosed with GAD is long-term treatment with buspirone. Buspirone is an anxiolytic medication that is effective in 60% to 80% of clients diagnosed with GAD.
What symptoms should a nurse recognize that differentiate panic disorder from Gad?
The nurse should identify that an appropriate treatment for clients diagnosed with GAD is long-term treatment with buspirone. Buspirone is an anxiolytic medication that is effective in 60% to 80% of clients diagnosed with GAD. Buspirone takes 10 to 14 days for alleviation of symptoms but does not have the dependency concerns of other anxiolytics.
What is the most common therapy for GAD?
Which medications would the nurse identify as used to treat GAD?
- Escitalopram.
- Paroxetine.
- Sertraline.
- Citalopram.
- Fluvoxamine.
- Fluoxetine.
What is the first-line of treatment for GAD?
How do you treat someone with GAD?
- getting regular exercise if possible.
- eating a balanced and nutrient-dense diet.
- getting enough sleep.
- doing yoga and meditation.
- avoiding stimulants, such as coffee and some over-the-counter medications, such as diet pills and caffeine pills.
What do antipsychotics treat?
What are nursing interventions for anxiety?
| Nursing Interventions | Rationale |
|---|---|
| Provide reassurance and comfort measures. | Helps relieve anxiety. |
| Educate the patient and/or SO that anxiety disorders are treatable. | Pharmacological therapy is an effective treatment for anxiety disorders; treatment regimen may include antidepressants and anxiolytics. |
What are 5 treatments for anxiety?
What are 4 treatment options for anxiety disorders?
What do anxiolytics treat?
How do you treat GAD without medication?
- Shout it out. Talking to a trusted friend is one way to cope with anxiety. ...
- Get moving. ...
- Break up with caffeine. ...
- Give yourself a bedtime. ...
- Feel OK saying no. ...
- Don't skip meals. ...
- Give yourself an exit strategy. ...
- Live in the moment.
What other kinds of support can help a person with anxiety?
- Cognitive behavioral therapy (CBT), which involves learning how to lower anxiety and face distressing situations.
- Medication management with antidepressants, which works well on its own but even better when coupled with CBT.
What types of treatment is available for people experiencing depression?
A nursing instructor is teaching about specific phobias. Which student statement should indicate that learning has occurred?
“These clients have overwhelming symptoms of panic when exposed to the phobic stimulus.”
A client has a history of excessive fear of water. What is the term that a nurse should use to describe this specific phobia, and under what subtype is this phobia identified?
Aquaphobia, a natural environment type of phobia
How would a nurse differentiate a client diagnosed with a social phobia from a client diagnosed with a schizoid personality disorder (SPD)?
Clients diagnosed with social phobia avoid interactions only in social settings, whereas clients diagnosed with SPD avoid interactions in all areas...
How would a nurse differentiate a client diagnosed with panic disorder from a client diagnosed with generalized anxiety disorder (GAD)?
Depersonalization is commonly seen in panic disorder and absent in GAD.
Which treatment should a nurse identify as most appropriate for clients diagnosed with generalized anxiety disorder (GAD)?
Long-term treatment with buspirone (BuSpar)
A client refuses to go on a cruise to the Bahamas with his spouse because of fearing that the cruise ship will sink and all will drown. Using a cognitive theory perspective, the nurse should use which of these statements to explain to the spouse the etiology of this fear?
“Your spouse may be experiencing a distorted and unrealistic appraisal of the situation.”
Arthur, who is diagnosed with obsessive-compulsive disorder, reports to the nurse that he can’t stop thinking about all the potentially life threatening germs in the environment. What is the most accurate way for the nurse to document this symptom?
Patient is expressing an obsession with germs.
A cab driver stuck in traffic is suddenly lightheaded, tremulous, and diaphoretic and experiences tachycardia and dyspnea. An extensive workup in an emergency department reveals no pathology. Which medical diagnosis is suspected, and what nursing diagnosis takes priority?
Panic disorder and a nursing diagnosis of panic anxiety
A client diagnosed with panic disorder states, “When an attack happens, I feel like I am going to die.” Which is the most appropriate nursing reply?
“I know it’s frightening, but try to remind yourself that this will only last a short time.”
A nursing instructor is teaching about specific phobias. Which student statement indicates to the instructor that learning has occurred? 1. “These clients recognize their fear as excessive and frequently seek treatment.” 2. “These clients have a panic level of fear that is overwhelming and unreasonable.” 3. “These clients experience symptoms that mirror a cerebrovascular accident (CVA).” 4. “These clients experience the symptoms of tachycardia, dysphagia, and diaphoresis.”
ANS: 2 Rationale: The nursing instructor should evaluate that learning has occurred when the student knows that clients with phobias have a panic l...
Which nursing statement to a client about social anxiety disorder versus schizoid personality disorder (SPD) is most accurate? 1. “Clients diagnosed with social anxiety disorder can manage anxiety without medications, whereas clients diagnosed with SPD can only manage anxiety with medications.” 2. “Clients diagnosed with SPD are distressed by the symptoms experienced in social settings, whereas clients diagnosed with social anxiety disorder are not.” 3. “Clients diagnosed with social anxiety disorder avoid interactions only in social settings, whereas clients diagnosed with SPD avoid interactions in all areas of life.” 4. “Clients diagnosed with SPD avoid interactions only in social settings, whereas clients diagnosed with social anxiety disorder tend to avoid interactions in all areas of life.”
ANS: 3 Rationale: Clients diagnosed with social anxiety disorder avoid interactions only in social settings, whereas clients diagnosed with SPD avo...
What symptoms should a nurse recognize that differentiate a client diagnosed with panic disorder from a client diagnosed with generalized anxiety disorder (GAD)? 1. GAD is acute in nature, and panic disorder is chronic. 2. Chest pain is a common GAD symptom, whereas this symptom is absent in panic disorders. 3. Hyperventilation is a common symptom in GAD and rare in panic disorder. 4. Depersonalization is commonly seen in panic disorder and absent in GAD.
ANS: 4 Rationale: The nurse should recognize that a client diagnosed with panic disorder experiences depersonalization, whereas a client diagnosed...
Which treatment should a nurse identify as most appropriate for clients diagnosed with generalized anxiety disorder (GAD)? 1. Long-term treatment with diazepam (Valium) 2. Acute symptom control with citalopram (Celexa) 3. Long-term treatment with buspirone (BuSpar) 4. Acute symptom control with ziprasidone (Geodon)
ANS: 3 Rationale: The nurse should identify that an appropriate treatment for clients diagnosed with GAD is long-term treatment with buspirone. Bus...
Which symptoms should a nurse recognize that differentiate a client diagnosed with obsessive-compulsive disorder (OCD) from a client diagnosed with obsessive-compulsive personality disorder? 1. Clients diagnosed with OCD experience both obsessions and compulsions, and clients diagnosed with obsessive-compulsive personality disorder do not. 2. Clients diagnosed with obsessive-compulsive personality disorder experience both obsessions and compulsions, and clients diagnosed with OCD do not. 3. Clients diagnosed with obsessive-compulsive personality disorder experience only obsessions, and clients diagnosed with OCD experience only compulsions. 4. Clients diagnosed with OCD experience only obsessions, and clients diagnosed with obsessive-compulsive personality disorder experience only compulsions.
ANS: 1 Rationale: A client diagnosed with OCD experiences both obsessions and compulsions. Clients with obsessive-compulsive personality disorder e...
6. A cab driver, stuck in traffic, becomes lightheaded, tremulous, diaphoretic, tachycardic and dyspneic. A workup in an emergency department reveals no pathology. Which medical diagnosis should a nurse suspect, and what nursing diagnosis should be the nurse’s first priority? 1. Generalized anxiety disorder and a nursing diagnosis of fear 2. Altered sensory perception and a nursing diagnosis of panic disorder 3. Pain disorder and a nursing diagnosis of altered role performance 4. Panic disorder and a nursing diagnosis of anxiety
ANS: 4 Rationale: The nurse should suspect that the client has exhibited signs and symptoms of a panic disorder. The priority nursing diagnosis sho...
A client diagnosed with panic disorder states, “When an attack happens, I feel like I am going to die.” Which is the most appropriate nursing response? 1. “I know it’s frightening, but try to remind yourself that this will only last a short time.” 2. “Death from a panic attack happens so infrequently that there is no need to worry.” 3. “Most people who experience panic attacks have feelings of impending doom.” 4. “Tell me why you think you are going to die every time you have a panic attack.”
ANS: 1 Rationale: The most appropriate nursing response to the client’s concerns is to empathize with the client and provide encouragement that pan...
A nursing instructor is teaching about the medications used to treat panic disorder. Which student statement indicates that learning has occurred? 1. “Clonazepam (Klonopin) is particularly effective in the treatment of panic disorder.” 2. “Clozapine (Clozaril) is used off-label in long-term treatment of panic disorder.” 3. “Doxepin (Sinequan) can be used in low doses to relieve symptoms of panic attacks.” 4. “Buspirone (BuSpar) is used for its immediate effect to lower anxiety during panic attacks.”
ANS: 1 Rationale: The student indicates learning has occurred when he or she states that clonazepam is a particularly effective treatment for panic...
A family member is seeking advice about an older parent who seems to worry unnecessarily about everything. The family member states, “Should I seek psychiatric help for my mother?” Which is an appropriate nursing response? 1. “My mother also worries unnecessarily. I think it is part of the aging process.” 2. “Anxiety is considered abnormal when it is out of proportion to the stimulus causing it and when it impairs functioning.” 3. “From what you have told me, you should get her to a psychiatrist as soon as possible.” 4. “Anxiety is a complex phenomenon and is effectively treated only with psychotropic medications.”
ANS: 2 Rationale: The most appropriate response by the nurse is to explain to the family member that anxiety is considered abnormal when it is out...
What does a cab driver experience?
A cab driver stuck in traffic is suddenly lightheaded, tremulous, and diaphoretic and experiences tachycardia and dyspnea. An extensive workup in an emergency department reveals no pathology. Which medical diagnosis is suspected, and what nursing diagnosis takes priority?
Is depersonalization a disorder?
Depersonalization is commonly seen in panic disorder and absent in GAD.
What is the best treatment for a client with GAD?
ANS: 3. Rationale: The nurse should identify that an appropriate treatment for clients diagnosed with GAD is long-term treatment with buspirone. Buspirone is an anxiolytic medication that is effective in 60% to 80% of clients diagnosed with GAD.
How long does it take to get rid of GAD?
Buspirone is an anxiolytic medication that is effective in 60% to 80% of clients diagnosed with GAD. Buspirone takes 10 to 14 days for alleviation of symptoms but does not have the dependency concerns of other anxiolytics.
What is the difference between a client with SPD and a client with social anxiety disorder?
“Clients diagnosed with SPD avoid interactions only in social settings, whereas clients diagnosed with social anxiety disorder tend to avoid interactions in all areas of life.”
What is phobia in nursing?
Phobia is fear cued by a specific object or situation in which exposure to the stimuli produces an immediate anxiety response.
Why should a nurse question a prescription for alprazolam?
Rationale: The nurse should question a prescription of alprazolam for acute anxiety if the client has a history of alcohol use disorder. Alprazolam is a benzodiazepine used in the treatment of anxiety and has an increased risk for physiological dependence and tolerance.
How long do panic attacks last in nursing?
Panic attacks usually last minutes but can, rarely, last hours. When the nurse states that “Most people who experience panic attacks…” the nurse depersonalizes and belittles the client’s feeling.
What does CVA mean in a client?
2. “These clients have a panic level of fear that is overwhelming and unreasonable.”. 3. “These clients experience symptoms that mirror a cerebrovascular accident (CVA).”. 4.
What is the best medication for panic attacks?
D. "Buspirone (BuSpar) is used for its immediate effect to lower anxiety during panic attacks.". "Clonazepam (Klonopin) is particularly effective in the treatment of panic disorder.". A family member is seeking advice about an elderly parent who seems to worry unnecessarily about everything.
What does a client living on the beachfront seek to do?
A client living on the beachfront seeks help with an extreme fear of crossing bridges, which interferes with daily life . A psychiatric nurse practitioner decides to try systematic desensitization. Which explanation of this therapy should the nurse convey to the client?
Is depersonalization a disorder?
Depersonalization is commonly seen in panic disorder and absent in GAD.
Do clients recognize that their fear is excessive?
A. "These clients do not recognize that their fear is excessive, and they rarely seek treatment."
Is GAD a chronic disorder?
A. GAD is acute in nature, and panic disorder is chronic.
What is the priority diagnosis for a nurse?
The nurse should suspect that the client has exhibited signs/symptoms of a panic disorder. The priority nursing diagnosis should be panic anxiety. Panic disorder is characterized by recurrent, sudden-onset panic attacks in which the person feels intense fear, apprehension, or terror.
How long does it take to get rid of GAD?
Buspirone is an anxiolytic medication that is effective in 60% to 80% of clients with GAD. It takes 10 to 14 days for alleviation of symptoms but does not have the dependency concerns of other anxiolytics.
What is phobia in nursing?
Phobia is fear cued by a specific object or situation in which exposure to the stimulus produces an immediate anxiety response.
What is depersonalization in a nurse?
Depersonalization refers to being detached from oneself when experiencing extreme anxiety.
How long do panic attacks last in nursing?
Panic attacks usually last minutes but can, rarely, last hours. Symptoms of depression are also common with this disorder.
What does a cab driver experience?
A cab driver stuck in traffic is suddenly lightheaded, tremulous, and diaphoretic and experiences tachycardia and dyspnea. An extensive workup in an emergency department reveals no pathology. Which medical diagnosis is suspected, and what nursing diagnosis takes priority?
Do clients recognize that their fear is excessive?
A. "These clients do not recognize that their fear is excessive, and they rarely seek treatment."
How long does it take to get rid of GAD?
Buspirone is an anxiolytic medication that is effective in 60% to 80% of clients with GAD. It takes 10 to 14 days for alleviation of symptoms but does not have the dependency concerns of other anxiolytics.
What is depersonalization in a nurse?
Depersonalization refers to being detached from oneself when experiencing extreme anxiety.
What does a cab driver experience?
A cab driver, stuck in traffic, suddenly is lightheaded, tremulous, diaphoretic, and experiences tachycardia and dyspnea. An extensive workup in an emergency department reveals no pathology. Which medical diagnosis is suspected, and what nursing diagnosis takes priority?
What is phobia in nursing?
Phobia is fear cued by a specific object or situation in which exposure to the stimuli produces an immediate anxiety response.
Is GAD a chronic disorder?
A. GAD is acute in nature, and panic disorder is chronic.
Is buspar a good treatment for panic attacks?
D. "Buspirone (BuSpar) is used for its immediate effect to lower anxiety during panic attacks.". ANS: A. The student indicates learning has occurred when he or she states that clonazepam is a particularly effective treatment for panic disorder.
Is buspirone used for panic attacks?
Buspirone is more likely to be prescribed for a patient experiencing generalized anxiety disorder. Fluoxetine, sertraline, and imipramine are used to treat panic disorder.
What is the difference between a client with SPD and a client with social anxiety disorder?
"Clients diagnosed with SPD avoid interactions only in social settings, whereas clients diagnosed with social anxiety disorder tend to avoid interactions in all areas of life."
Is hyperventilation a symptom of GAD?
3. Hyperventilation is a common symptom in GAD and rare in panic disorder.
Can a client with SPD manage anxiety without medication?
"Clients diagnosed with social anxiety disorder can manage anxiety without medications, whereas clients diagnosed with SPD can only manage anxiety with medications."
Can OCD be diagnosed with compulsions?
1. Clients diagnosed with OCD experience both obsessions and compulsions, and clients diagnosed with obsessive-compulsive personality disorder do not.