A patient is ordered medication therapy to manage the symptoms of ...

[Melani1276]

A patient is ordered medication therapy to manage the symptoms of anxiety disorder. Which statement by the patient indicates an understanding of the typical classification of medication prescribed for this disorder?
 
  a. Tricyclic antidepressants are particular good for panic attacks.
  b. I have to give up beer while taking monamine oxidase inhibitors (MAOIs).
  c. Selective serotonin reuptake inhibitors (SSRIs) help with panic attacks as well.
  d. Benzodiazepines are usually effective when taken for chronic anxiety like mine.

Question 2

The nurse is working with a patient with an anxiety disorder whose treatment includes cognitive behavioral therapy.
 
  Which statement by the patient gives the nurse reason to assume that the patient has an understanding of the basis of this type of therapy?
  a. My abusive childhood has resulted in my overreaction to stress.
  b. My delusional thoughts of extreme anxiety are what cause my panic attacks.
  c. My brain chemistry causes me to overreact to common stress by getting so anx-ious.
  d. I've learned to react to my daily stress by having anxious thoughts and panic at-tacks.

[xiaomengxian]

Answer to Question 1

ANS: C
SSRIs are the most widely prescribed medication to treat panic disorder. They are effective and have a low side-effect profile. Tricyclic antidepressants are not effective for panic at-tacks and have more side effects than SSRIs. MAOIs are effective but require knowledge of and compliance with a special diet and are not the first choice in this situation. Benzodiaze-pines are effective but produce alterations in sensorium and other side effects and are not used for long-term management.

Answer to Question 2

ANS: D
The success of this approach centers on the patient's understanding that the symptoms are a learned response to thoughts or feelings about behaviors that occur in daily life. Cognitive therapy helps patients identify target symptoms and change the cognitions associated with them. This is a psychodynamic model explanation. Anxiety disorders have no relationship to delusions. Brain chemistry is not a usual cause of anxiety but rather can be altered by anxiety.