A patient experiences an episode of severe anxiety. Of these ...

[kshipps]

A patient experiences an episode of severe anxiety. Of these medications in the patient's medical record, which is most appropriate to administer as an as-needed (prn) anxiolytic medication?
 
  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 imaginekind, considerate, and good looking. I can't find a single flaw. This patient is demonstrating:
 
  a. denial.
  b. projection.
  c. idealization.
  d. compensation.

[AaaA]

Answer to Question 1

ANS: B
Lorazepam is a benzodiazepine medication used to treat anxiety; it may be administered as needed. Buspirone is long acting and not useful as an as-needed 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 an individual attributes exaggerated positive qualities to another. Denial is an unconscious process that calls for the nurse to ignore the existence of the situation. Projection operates unconsciously and results in blaming behavior. Compensation results in the nurse unconsciously attempting to make up for a perceived weakness by emphasizing a strong point.