Author Question: A long-term care facility resident with generalized anxiety disorder (GAD) enters the dining room ... (Read 173 times)

danielfitts88 · **on:** Jun 25, 2018

A long-term care facility resident with generalized anxiety disorder (GAD) enters the dining room and discovers that a visitor is sitting in her regular seat. The resident becomes agitated and insists that she cannot eat unless she sits in her chair.

Which response is most appropriate?
a. Instruct the visitor to move.
b. Reassure the resident that she can sit in her regular spot at supper.
c. Remind the resident that she will be hun-gry if she does not eat.
d. Insist that the resident eat.

Question 2

The nurse is educating a patient with generalized anxiety disorder (GAD) who has a new prescription for buspirone (BuSpar). Which information is most important for the nurse to include in the teaching plan?

a. Use this medication as needed to manage your anxiety.
b. Taper this medication before disconti-nuing.
c. Allow 3 weeks before expecting any relief of symptoms.
d. This medication poses a great risk of to-lerance and dependence.

iceage · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

B
A calm approach and reassurance will help the anxious patient to mimic the nurse's behavior. Asking the visitor to move, telling the resident that she will go hungry, or insisting that the resi-dent eat are not therapeutic and will not help in reducing the patient's anxiety.

Answer to Question 2

B
Patients should not stop taking BuSpar abruptly, but should taper this medication according to health care provider instructions. BuSpar is always given as a scheduled drug (never on an as-needed basis). The patient should allow 7 to 10 days for symptoms to subside. No evidence exists that BuSpar causes tolerance or physical dependence