Author Question: The nurse planning health teaching for a client with generalized anxiety disorder who is taking ... (Read 45 times)

TVarnum · **on:** Jul 19, 2018

The nurse planning health teaching for a client with generalized anxiety disorder who is taking
lorazepam (Ativan) should include information about the need for (more than one answer may be
correct)

A. a tyramine-free diet.
B. caffeine restriction.
C. use of care with machinery.
D. avoidance of alcohol and other sedatives.

Question 2

When working with a client with posttraumatic stress disorder who has frequent flashbacks as well
as persistent symptoms of arousal,

effective nursing interventions would include (more than one
answer may be correct)
A. encouraging repression of memories associated with the traumatic event.
B. explaining that physical symptoms are related to the psychological state.
C. teaching stress management techniques.
D. discussing possible meanings of the event.
E. advising the use of alcohol as adjunctive sedation.

lindahyatt42 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS:
B, C, D
Rationale: Caffeine is a central nervous system stimulant that acts as an antagonist to the
benzodiazepine lorazepam. Daily caffeine intake should be reduced to the amount contained in one
cup of coffee. Benzodiazepines are sedatives, thus the importance of exercising caution when
driving or using machinery and the importance of not using other central nervous system depressants
such as alcohol or sedatives to avoid potentiation. Option A: Benzodiazepines do not require a
special diet.

Answer to Question 2

ANS:
B, C, D
Rationale: The goal of treatment for posttraumatic stress disorder is to come to terms with the event
rather than repress it; thus option D is correct and option A is incorrect. Option B will help the client
understand the mind-body relation and the fact that relaxation, breathing exercises, and imagery can
be helpful in symptom reduction (option C). Option E is inadvisable. Substance abuse is often a
comorbidity with posttraumatic stress disorder because the client seeks to self-medicate.