A client is prescribed alprazolam (Xanax) for acute anxiety. What ...

[WhattoUnderstand]

A client is prescribed alprazolam (Xanax) for acute anxiety. What client history should cause a nurse to question this order?
 
  A. History of alcohol dependence
  B. History of personality disorder
  C. History of schizophrenia
  D. History of hypertension

Question 2

A client has the following symptoms: preoccupation with imagined defect, verbalizations that are out of proportion to actual physical abnormalities, and numerous visits to plastic surgeons to seek relief.
 
  Which nursing diagnosis would best describe the problems evidenced by these symptoms?
 
  A. Ineffective coping
  B. Disturbed body image
  C. Complicated grieving
  D. Panic anxiety

[Chou]

Answer to Question 1

ANS: A
The nurse should question a prescription of alprazolam (Xanax) for acute anxiety if the client has a history of alcohol dependence. Alprazolam is a benzodiazepine used in the treatment of anxiety and has an increased risk for physiological dependence and tolerance. A client with a history of substance abuse may be more likely to abuse other addictive substances and/or combine this drug with alcohol.

Answer to Question 2

ANS: B
The symptoms presented describe the DSM-5 diagnosis of body dysmorphic disorder, and the related nursing diagnosis is disturbed body image.