Treatment FAQ

which treatment should the nurse identify as most appropriate for clients diagnosed with gad?

by Prof. Clyde Tremblay Jr. Published 3 years ago Updated 2 years ago

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 should a nurse expect from a client with 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 …

What is the appropriate treatment for clients diagnosed with Gad?

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What is the best nursing intervention for generalized anxiety disorder (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 …

What should a nurse expect from a client with generalized anxiety disorder?

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 …

What is the most common therapy for GAD?

Cognitive behavioral therapy is the most effective form of psychotherapy for generalized anxiety disorder.Oct 13, 2017

What is the first line of treatment for GAD?

Selective serotonin reuptake inhibitors (SSRIs) are generally considered first-line therapy for GAD and PD.May 1, 2015

Which medications would the nurse identify as used to treat GAD?

Prescription Medications
  • Citalopram.
  • Fluvoxamine.
  • Paroxetine.
  • Fluoxetine.
  • Sertraline.
  • Escitalopram.

How do you treat someone with GAD?

Lifestyle changes to help ease symptoms of GAD
  1. getting regular exercise if possible.
  2. eating a balanced and nutrient-dense diet.
  3. getting enough sleep.
  4. doing yoga and meditation.
  5. avoiding stimulants, such as coffee and some over-the-counter medications, such as diet pills and caffeine pills.

What are 5 treatments for anxiety?

Some ways to manage anxiety disorders include learning about anxiety, mindfulness, relaxation techniques, correct breathing techniques, dietary adjustments, exercise, learning to be assertive, building self-esteem, cognitive therapy, exposure therapy, structured problem solving, medication and support groups.

What do anxiolytics treat?

Anxiolytics are a class of medications used to prevent or treat anxiety symptoms or disorders. They're sometimes called anti-anxiety medications or minor tranquilizers.Nov 1, 2021

What do antipsychotics treat?

Antipsychotics are a type of psychiatric medication which are available on prescription to treat psychosis. They are licensed to treat certain types of mental health problem whose symptoms include psychotic experiences. This includes: schizophrenia.

What are SSRIs used for?

Selective serotonin reuptake inhibitors (SSRIs) are the most commonly prescribed antidepressants. They can ease symptoms of moderate to severe depression, are relatively safe and typically cause fewer side effects than other types of antidepressants do.

Which action would the nurse take first for a client with a generalized anxiety disorder?

The nursing interventions for anxiety disorders are: Stay calm and be nonthreatening. Maintain a calm, nonthreatening manner while working with client; anxiety is contagious and may be transferred from staff to client or vice versa. Assure client of safety.Feb 11, 2021

How do you treat GAD without medication?

Anxiety Treatment Without Medication: 7 Holistic Ways to Cope
  1. Keep Your Blood Sugar in Check. ...
  2. Avoid Stimulants. ...
  3. Get Enough Sleep. ...
  4. Just Breathe. ...
  5. Practice Mindfulness. ...
  6. Exercise. ...
  7. Do What You Enjoy.
Dec 6, 2017

What other kinds of support can help a person with anxiety?

There are two primary treatments for individuals 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.

How do professionals get diagnosed with anxiety?

To diagnose an anxiety disorder, a doctor performs a physical exam, asks about your symptoms, and recommends a blood test, which helps the doctor determine if another condition, such as hypothyroidism, may be causing your symptoms. The doctor may also ask about any medications you are taking.

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 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.

Is anxiety a complex phenomenon?

D. "Anxiety is a complex phenomenon and is effectively treated only with psychotropic medications.". "Anxiety is considered abnormal when it is out of proportion to the stimulus causing it and when it impairs functioning.". A client is experiencing a severe panic attack.

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.

Does OCD cause obsessions?

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.

Why is buspar used?

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 disorder.

Is clonazepam a benzodiazepine?

Rationale: The student indicates learning has occurred when he or she states that clonazepam is a particularly effective treatment for panic disorder. Clonazepam is a type of benzodiazepine in which the major risk is physical dependence and tolerance, which may encourage abuse.

What causes numbness in the hands and feet?

Hyperventilation causes the amount of carbon dioxide (CO2) in the blood to decrease, possibly resulting in lightheadedness, rapid heart rate, shortness of breath, numbness or tingling in the hands or feet, and syncope.

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.

What is the most appropriate response by a nurse?

The most appropriate reply by the nurse is to explain to the family member that anxiety is considered abnormal when it is out of proportion and impairs functioning. Anxiety is a normal reaction to a realistic danger or threat to biological integrity or self-concept.

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.

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 is the fear of water called?

The nurse should determine that an excessive fear of water is identified as aquaphobia, which is a natural environment type of phobia. Natural environment-type phobias are fears about objects or situations that occur in the natural environment, such as a fear of heights or storms.

Is GAD a chronic disorder?

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.

What is a generalized anxiety disorder?

Generalized anxiety disorder and a nursing diagnosis of fear. 2. Mild anxiety disorder and a nursing diagnosis of anxiety. 3. Pain disorder and a nursing diagnosis of altered role performance. 4. Panic disorder and a nursing diagnosis of anxiety. 4. Panic disorder and a nursing diagnosis of anxiety.

Which student statement indicates to the instructor that teaching has been effective?

"These clients recognize their fear as excessive and frequently seek treatment ."#N#2. "These clients have a panic level of fear that is overwhelming and unreasonable."#N#3. "These clients experience symptoms that mirror a cerebrovascular accident."#N#4. "These clients experience the symptoms of tachycardia, dysphagia, and diaphoresis."

Is chest pain a symptom of panic disorder?

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. 4. Depersonalization is commonly seen in panic disorder and absent in GAD.

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