Author Question: An insurance agent who is sitting in his office after returning from a physical examination in which ... (Read 143 times)

anjilletteb · **on:** Jul 19, 2018

An insurance agent who is sitting in his office after returning from a physical examination in which
he was pronounced in good health suddenly experiences a feeling of terror.

His heart pounds, he
feels as though he cannot breathe, and he cannot focus on what is being said to him. Several earlier
episodes and the fear of their repetition had prompted the visit to the doctor. This experience should
be assessed as a possible
a. panic attack.
b. phobic reaction.
c. dissociative reaction.
d. obsessive-compulsive crisis.

Question 2

A client tells the nurse that she wants her physician to prescribe diazepam (Valium) for anxiety
reduction. The physician has prescribed buspirone (BuSpar). The nurse's reply should be based on
the knowledge that buspirone

a. can be administered prn.
b. does not predispose the client to blood dyscrasias.
c. is not habituating.
d. is faster acting.

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

Answer to Question 1

ANS: A
According to the DSM-IV-TR, panic attacks cause symptoms of sympathetic nervous system arousal
and occur without warning, as described in the scenario. Option B: A phobic reaction involves
excessive fear. Option C: A dissociative reaction involves separation of an event from conscious
awareness. Option D: No disorder is known as an obsessive-compulsive crisis.

Answer to Question 2

ANS: C
Buspirone is considered effective in the long-term management of anxiety because it is not
habituating. Options A and D: Because it is long acting, it is not valuable as a prn medication or a
fast-acting medication. Option B: This fact is of lesser relevance in the decision to prescribe
buspirone.