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.
The nurse cares for the postop client in the postanesthesia care unit (PACU).
A nurse communicates with her non–English-speaking patient through an interpreter
Position of patient to assess jugular vein distention
All messages must be documented and placed in the patient's chart.
A patient undergoing hemodialysis.
Common patient positions.