ATI Mental Health Ch. 21- Medications for Anxiety and Trauma and Stressor Related Disorders

A nurse is caring for a client who takes paroxetine to treat post traumatic stress disorder. The client states "I grind my teeth during the night, which causes pain in my mouth". The nurse should identify which of the following interventions as possible measures to manage the client's bruxism? select all that apply a. concurrent administration of buspirone b. administration of a different SSRI c. use of a mouth guard d. changing to a different class of anti anxiety medication e. increasing the dose of paroxetine

a. concurrent administration of buspirone c. use of a mouth guard e. increasing the dose of paroxetine

A nurse is assessing a client 4 hr after receiving an initial dose of fluoxetine. Which of the following findings should the nurse report to the provider as indications of serotonin syndrome? select all that apply a. hypothermia b. hallucinations c. muscular flaccidity d. diaphoresis e. agitation

b. hallucinations d. diaphoresis e. agitation

A nurse working in an emergency department is caring for a client who has benzodiazepine toxicity due to an overdose. Which of the following actions is the nurse's priority? a. administer flumazenil b. identify the client's level of orientation c. infuse IV fluids d. prepare the client for gastric lavage

b. identify the client's level of orientation

A nurse is caring for a client who is to begin taking fluoxetine for treatment of panic disorder. Which of the following statements indicates the client understands the use o f this medication? a. "I will take the medication at bedtime" b. "I will follow a low-sodium diet while taking this medication" c. " I will need to discontinue this medication slowly" d. "I will be at risk for weight loss with long term use of this medication"

c. " I will need to discontinue this medication slowly"

A nurse is teaching a client who has a new prescription for alprazolam for generalized anxiety disorder. Which of the following information should the nurse provide? a. three to six weeks of treatment is required to achieve therapeutic benefit b. combining alcohol with alprazolam will produce a paradoxical response c. alprazolam has a lower risk for dependence than other anti-anxiety medications d. report confusion as a potential indication of toxicology

d. report confusion as a potential indication of toxicology