Author Question: A patient experiences a sudden episode of severe anxiety. Of these medications in the patient's ... (Read 29 times)

frankwu · **on:** Jul 19, 2018

A patient experiences a sudden episode of severe anxiety. Of these medications in the patient's medical record, which is most appropriate to give as a prn anxiolytic?

a. buspirone (BuSpar)
b. lorazepam (Ativan)
c. amitriptyline (Elavil)
d. desipramine (Norpramin)

Question 2

A patient tells a nurse, My new friend is the most perfect person one could imagine: kind, considerate, and good-looking. I can't find a single flaw. This patient is demonstrating:

a. denial.
b. projection.
c. idealization.
d. compensation.

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

Answer to Question 1

ANS: B
Lorazepam is a benzodiazepine used to treat anxiety. It may be given as a prn medication. Buspirone is long acting and is not useful as a prn drug. Amitriptyline and desipramine are tricyclic antidepressants and considered second- or third-line agents.

Answer to Question 2

ANS: C
Idealization is an unconscious process that occurs when the individual attributes exaggerated positive qualities to another. Denial is an unconscious process that would call for the nurse to ignore the existence of the situation. Projection operates unconsciously and would result in blaming behavior. Compensation would result in the nurse unconsciously attempting to make up for a perceived weakness by emphasizing a strong point.