When the psychiatrist prescribes alprazolam (Xanax) for the acute ...

[danielfitts88]

When the psychiatrist prescribes alprazolam (Xanax) for the acute anxiety experienced by a client
  with agoraphobia, health teaching should include instructions to
 
  a. eat a tyramine-free diet.
  b. report drowsiness.
  c. avoid alcoholic beverages.
  d. adjust dose and frequency of ingestion based on anxiety level.

Question 2

Which piece of subjective data obtained during the nurse's psychosocial assessment of a client
  experiencing severe anxiety would indicate the possibility of obsessive-compulsive disorder?
 
  a. I have to keep checking to see where my car keys are..
  b. My legs feel weak most of the time..
  c. I'm afraid to go out in public..
  d. I keep reliving the rape..

[Awesome]

Answer to Question 1

ANS: C
Drinking alcohol or taking other anxiolytics along with the prescribed benzodiazepine should be
avoided because depressant effects of both drugs will be potentiated. Option A: Tyramine-free diets
are necessary only with monoamine oxidase inhibitors. Option B: Drowsiness is an expected effect
and needs to be reported only if it is excessive. Option D: Clients should be taught not to deviate
from the prescribed dose and schedule for administration.

Answer to Question 2

ANS: A
Recurring doubt (obsessive thinking) and the need to check (compulsive behavior) suggest
obsessive-compulsive disorder. The repetitive behavior is designed to decrease anxiety but fails and
must be repeated. Option B is more in keeping with a somatoform disorder. Option C is associated
with agoraphobia and option D with posttraumatic stress disorder.

[danielfitts88]

Thank you

[Awesome]

No problemo