It is important for the nurse to obtain a thorough history from a ...

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It is important for the nurse to obtain a thorough history from a patient who is experiencing anxiety. This history will help to distinguish
 
  1. the best method of pharmacotherapy.
  2. whether the patient might benefit from individual or group therapy.
  3. the category of anxiety disorder.
  4. the region of the brain that is causing the anxiety disorder.
  5. substances that might worsen anxiety.

Question 2

Which explanation best indicates why barbiturates are rarely used to treat anxiety and insomnia?
 
  1. They have a greater associated cost.
  2. They have a high risk of producing an allergic response.
  3. They are seldom effective.
  4. They produce many serious adverse effects.

[kjo;oj]

Answer to Question 1

Correct Answer: 1,2,5
Rationale 1: The health care provider must accurately diagnose the anxiety disorder, because treatment differs among the various types of anxiety disorders. Some anxiety disorders are debilitating and require effective pharmacotherapy.
Rationale 2: Some patients benefit from individual or group psychotherapy, which can help them identify and overcome the root causes of their worry and fear.
Rationale 3: A thorough health history is not used to determine the category of anxiety disorder.
Rationale 4: A thorough health history is not used to determine the region of the brain that is causing the anxiety disorder.
Rationale 5: When obtaining a comprehensive medication history during the initial patient assessment, the nurse should observe any substances the patient is taking that might worsen or cause anxiety symptoms. Sometimes discontinuing or substituting an alternate drug for these anxiety-promoting medications can lessen patient symptoms.

Answer to Question 2

Correct Answer: 4
Rationale: Barbiturates were the drug of choice for anxiety and insomnia prior to the discovery of safer drug alternatives. They can be effective, and are not necessarily more expensive. Allergic reactions can occur, but are rare, and are not a primary reason they are no longer used for anxiety and/or insomnia.

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[kjo;oj]

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