A client with generalized anxiety disorder and depression comes ...

[colton]

A client with generalized anxiety disorder and depression comes to the anxiety disorders clinic
  displaying severe anxiety.
 
  Of the medications listed in the client's medical record, which one, with
  an appropriate order, can be given as a prn anxiolytic?
  a. Buspirone (BuSpar)
  b. Lorazepam (Ativan)
  c. Phenytoin (Dilantin)
  d. Fluoxetine (Paxil)

Question 2

The care plan for an engineer with agoraphobia includes increasing self-esteem with cognitive
  restructuring. When the client tells the nurse I'm not smart enough to get that job, the nurse should
  say
 
  a. It must be difficult to be in that position..
  b. You should not demean your abilities..
  c. Let's think about what you just said..
  d. You seem intelligent to me..

[medine]

Answer to Question 1

ANS: B
Lorazepam is a benzodiazepine used to treat anxiety. It may be given as a prn medication. Option A:
Buspirone has a long action and is not useful as a prn drug. Option C: Phenytoin is an
anticonvulsant. Option D: Fluoxetine is a selective serotonin reuptake inhibitor used to treat the
client's depression.

Answer to Question 2

ANS: C
Cognitive restructuring calls for the client to examine automatic negative thoughts about himself and
replace them with more realistic evaluations of his own abilities. The other options would not
promote examination of the negative thinking exhibited by the client.