Question 1

A client being treated for an anxiety disorder is prescribed medication for sleep to be provided every evening.Why is the client prescribed sleeping medication? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

Accepted Answer

A) Anxiety and sleep issues often coexist, with anxiety leading to sleep disturbances and poor sleep exacerbating anxiety. B) Improving sleep can have a positive impact on anxiety disorders, as adequate rest can help reduce overall anxiety levels. E) Worrying about not getting enough sleep can itself be a source of anxiety, so addressing sleep issues can help break this cycle.

Question 2

The nurse is coaching a client on nonpharmacologic interventions to improve sleep.What would be included in these instructions? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

Accepted Answer

A) Meditation has been shown to be effective in reducing stress and promoting relaxation, which can improve sleep.
B) Guided imagery can help to relax the mind and create a peaceful mental state, improving the ability to fall and stay asleep.
C) Deep breathing techniques can help to calm the nervous system, reduce anxiety, and promote relaxation, all helping to improve sleep.
D) Chamomile tea has natural sedative properties that can promote relaxation and improve sleep quality. 
E) Keeping a light on can actually disrupt sleep patterns and make it harder to fall asleep, so this is not a recommended intervention for improving sleep.

Question 3

Since long-term use of phenobarbital can lead to osteomalacia,a client is instructed to consume foods high in vitamin D,vitamin K,and folic acid.Which statement indicates the client understands these instructions?

Accepted Answer

Fish is high in vitamin D, green vegetables are high in vitamin K, and milk is high in folic acid. This choice includes all three nutrients necessary for the client to consume.

Question 4

A client is prescribed a medication that will inhibit the function of the reticular activating system.What will the nurse assess as effects of this medication? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

Accepted Answer

Inhibiting the reticular activating system will likely result in drowsiness and sleeping due to its role in regulating wakefulness and consciousness. Alertness may be decreased. Dilated pupils and elevated blood pressure are not typical effects of inhibiting the reticular activating system.

Question 5

The nurse withholds a scheduled dose of secobarbital (Seconal)to a client and notifies the health care provider when what was assessed? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

Accepted Answer

The answer of The nurse withholds a scheduled dose of...

Question 6

A client experiencing hyperventilation,diaphoresis,and difficulty breathing with chest tightness was diagnosed with panic attacks after a negative cardiac workup.What action should the nurse implement first?

Accepted Answer

Moving the client from the waiting area to a private ED cubicle is the first action the nurse should take to ensure the client's privacy and to prevent further anxiety or panic from being in a public setting.

Question 7

The nurse's client is prescribed medication for anxiety and sleep,and the nurse is providing instruction on lifestyle changes.What would be included in this teaching? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

Accepted Answer

Caffeine and smoking can exacerbate anxiety symptoms and interfere with sleep. Alcohol may interact with the medication and cause adverse effects. Limiting alcohol intake can also promote restful sleep. While exercise can be helpful in managing anxiety, it should be done earlier in the day rather than before bedtime. There is no need to limit intake of green leafy vegetables in this situation.

Question 8

A client recovering from surgery is prescribed zolpidem (Ambien)for sleep.The client is scheduled for physical therapy at 8 p.m.What should the nurse do when providing the client with this medication?

Accepted Answer

Zolpidem is a fast-acting medication that produces effects within 15-30 minutes of administration. Therefore, it is best to administer the medication immediately prior to expected sleep to promote restful sleep and prevent the client from feeling drowsy during physical therapy. Crushing the medication or providing it with food is not necessary or recommended. Administering the medication prior to physical therapy may lead to drowsiness and affect the client's ability to participate in therapy.

Question 9

A client is prescribed a medication for anxiety that will affect the limbic system.When instructing the client,the nurse explains that this medication will affect which areas? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

Accepted Answer

The answer of A client is prescribed a medication for...

Question 10

The nurse is providing discharge instructions to a client who has been started on a monoamine oxidase inhibitor (MAOI).Which statement indicates that the client needs further teaching?

Accepted Answer

MAOIs interact with tyramine in foods such as aged cheese, cured meats, and some alcoholic beverages, which can lead to a dangerous increase in blood pressure. Pizza can contain several of these ingredients, so the client should avoid it. Options A, B, and D are all appropriate considerations for a client on an MAOI, as these medications can cause hypotension and hypoglycemia, and caffeine should be limited. Slowing down when rising from a lying or sitting position also reduces the risk of orthostatic hypotension.

Question 11

A client receiving phenobarbital for seizure control has a temperature of 102°F,periorbital and oral edema,and an erythematous rash over the entire body.Which action by the nurse is the priority?

Accepted Answer

The client is exhibiting signs of a possible allergic reaction to phenobarbital. Holding the medication and notifying the health care provider is the priority to prevent further complications. Option A and D would put the client at risk for further allergic reactions and exacerbation of symptoms. Option C is not relevant to the situation and would not address the client's current symptoms.

Question 12

A client is prescribed duloxetine (Cymbalta)for fibromyalgia.When teaching the client about this medication,the nurse will include which adverse or side effects? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

Accepted Answer

The answer of A client is prescribed duloxetine (Cymbalta)for fibromyalgia.When...

Question 13

Lorazepam (Ativan)is ordered to be given through the intravenous route for a client with status epilepticus.The client currently has an intravenous infusion of dextrose 5% and 0.9% normal saline at the rate of 125 mL/hr.Which action demonstrates the correct administration of this medication by the nurse?

Accepted Answer

Ativan should be administered by slow IV injection over a 2- to 4-minute period. It should not be given via IV push or mixed in a bag of normal saline. The intravenous infusion should not be discontinued prior to administering the medication.

Question 14

The nurse is preparing to administer intravenous lorazepam (Ativan)to a client.Which nursing intervention is a priority following the parenteral administration of this medication?

Accepted Answer

Lorazepam is a benzodiazepine that can cause respiratory depression in clients, especially in those who are already experiencing respiratory depression. Therefore, monitoring for changes in respirations is a priority nursing intervention to ensure the client's safety. While assessing for drug interactions, instructing the client to change positions slowly, and assessing for seizure activity are important nursing interventions, monitoring for changes in respirations is a priority following the administration of intravenous lorazepam.

Question 15

A client with anxiety reports difficulty sleeping and waking up several times throughout the night.The nurse is concerned that the client can develop imbalances in which neurotransmitters? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

Accepted Answer

The answer of A client with anxiety reports difficulty sleeping...

Question 16

During a medical history,a client tells the nurse about waiting several hours before falling asleep and waking up repeatedly during the night only to wait again to fall asleep.The nurse would document this client's symptoms as being which types of insomnia? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

Accepted Answer

Sleep-onset insomnia refers to difficulty falling asleep at the beginning of the night, which matches the client's experience of waiting several hours before falling asleep. Sleep-maintenance insomnia involves difficulty staying asleep or waking up frequently during the night, aligning with the client's report of waking up repeatedly.

Question 17

The nurse notes that a client is prescribed zolpidem (Ambien)at a dose smaller than is recommended.What would the nurse review to determine the reason for the reduced dose? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

Accepted Answer

The answer of The nurse notes that a client is...

Question 18

During a health history,a client expresses concern to the nurse about finances and the health of older parents.What will the nurse assess to determine whether this client is experiencing generalized anxiety disorder? Standard Text: Select all that apply.

Accepted Answer

The answer of During a health history,a client expresses concern...

Question 19

A hospitalized client who is not prescribed medication for sleep tells the nurse about using a sedative to sleep "for years." What will the nurse most likely assess in this client? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

Accepted Answer

Clients who have used sedatives for sleep for an extended period may experience withdrawal symptoms when the medication is stopped, leading to sleeplessness and anxiety. Additionally, long-term use of sedatives can cause daytime drowsiness as a side effect. Dizziness and blurred vision are less directly related to the cessation of sedative use for sleep.

Quiz 18: Pharmacotherapy of Anxiety and Sleep Disorders

A client being treated for an anxiety disorder is prescribed medication for sleep to be provided every evening.Why is the client prescribed sleeping medication? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

The nurse is coaching a client on nonpharmacologic interventions to improve sleep.What would be included in these instructions? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

Since long-term use of phenobarbital can lead to osteomalacia,a client is instructed to consume foods high in vitamin D,vitamin K,and folic acid.Which statement indicates the client understands these instructions?

A client is prescribed a medication that will inhibit the function of the reticular activating system.What will the nurse assess as effects of this medication? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

The nurse withholds a scheduled dose of secobarbital (Seconal) to a client and notifies the health care provider when what was assessed? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

A client experiencing hyperventilation,diaphoresis,and difficulty breathing with chest tightness was diagnosed with panic attacks after a negative cardiac workup.What action should the nurse implement first?

The nurse's client is prescribed medication for anxiety and sleep,and the nurse is providing instruction on lifestyle changes.What would be included in this teaching? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

A client recovering from surgery is prescribed zolpidem (Ambien) for sleep.The client is scheduled for physical therapy at 8 p.m.What should the nurse do when providing the client with this medication?

The nurse is providing discharge instructions to a client who has been started on a monoamine oxidase inhibitor (MAOI) .Which statement indicates that the client needs further teaching?

A client receiving phenobarbital for seizure control has a temperature of 102°F,periorbital and oral edema,and an erythematous rash over the entire body.Which action by the nurse is the priority?

A client is prescribed duloxetine (Cymbalta) for fibromyalgia.When teaching the client about this medication,the nurse will include which adverse or side effects? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

The nurse is preparing to administer intravenous lorazepam (Ativan) to a client.Which nursing intervention is a priority following the parenteral administration of this medication?

During a health history,a client expresses concern to the nurse about finances and the health of older parents.What will the nurse assess to determine whether this client is experiencing generalized anxiety disorder? Standard Text: Select all that apply.