Chapter 15: Drugs Used for Anxiety Disorders
Test Bank
MULTIPLE CHOICE
1. What is the recommended time over which antianxiety medications must be gradually tapered
before discontinuation?
a. 1 week
b. 1 month
c. 6 months
d. 1 year
ANS: B
Withdrawal from medication should be done under a health care provider’s supervision.
Withdrawal usually takes 4 weeks and requires a gradual reduction in dosage and greater
intervals between medication administrations. One week is an inadequate interval for
cessation of antianxiety medication therapy. Six months to 1 year is much longer than
necessary for cessation of antianxiety medication therapy.
DIF: Cognitive Level: Knowledge REF: p. 246 OBJ: 5
TOP: Nursing Process Step: Planning
MSC: NCLEX Client Needs Category: Psychosocial Integrity
2. Which is a benzodiazepine of choice when treating anxiety associated with alcohol
withdrawal?
a. Chlordiazepoxide (Librium)
b. Oxazepam (Serax)
c. Diazepam (Valium)
d. Clorazepate (Tranxene)
ANS: B
Oxazepam and lorazepam are the drugs of choice in treating anxiety disorders because they
have no active metabolites. Chlordiazepoxide and clorazepate are not the drugs of choice
when treating anxiety associated with alcohol withdrawal. Diazepam has not been studied as
fully as oxazepam in treating patients who have hepatic function impairment.
DIF: Cognitive Level: Knowledge REF: pp. 245-246 OBJ: 1
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Psychosocial Integrity
3. Which is the drug of choice to treat a patient with obsessive compulsive disorder (OCD)?
a. Lorazepam (Ativan)
b. Buspirone (BuSpar)
c. Fluvoxamine (Luvox)
d. Hydroxyzine (Vistaril)
ANS: C
Fluvoxamine inhibits the reuptake of serotonin at the nerve endings, thus prolonging
serotonin activity. Fluvoxamine is used for the treatment of OCD when the obsessions or
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compulsions cause marked distress or interfere substantially with social or occupational
responsibilities. Fluvoxamine does not prevent the obsessions or compulsions; the
therapeutic outcome of this drug is to assist the patient in their management. Lorazepam,
buspirone, and hydroxyzine do not treat the symptoms of OCD.
DIF: Cognitive Level: ComprehensionREF: p. 243 OBJ: 1
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Psychosocial Integrity
4. The outcome statement for a patient suffering from anxiety disorder reads, “After 1 week on
alprazolam (Xanax) therapy, patient will exhibit a manageable level of anxiety.” Which
assessment finding validates that this outcome is met?
a. Patient is unable to participate in group therapy conversations.
b. Patient reports persistent fear about dying of a rare illness.
c. Patient verifies that family reunions trigger anxiety and excessive drinking.
d. Patient reports sleeping better and increased interest in activities.
ANS: D
The primary therapeutic outcome expected from benzodiazepine antianxiety agents is a
decrease in the level of anxiety to a manageable level. Physical signs of anxiety have
decreased, and coping is improved. Being unable to participate in group therapy, persistent
fears, and choosing inappropriate coping mechanisms for noncatastrophic events indicate
that the anxiety is not manageable.
DIF: Cognitive Level: Application REF: p. 244 | p. 246
OBJ: 4 TOP: Nursing Process Step: Evaluation MSC: NCLEX Client
Needs Category: Psychosocial Integrity
5. Which is true regarding psychological drug dependence?
a. It is easier to treat than physiological dependence.
b. It is not considered a true addiction.
c. It is easily controlled by influencing the patient’s perceptions.
d. It requires medical intervention to treat.
ANS: D
Medical intervention is required to treat psychological drug dependence. Psychological
addictions are often more difficult to overcome than physiological addictions. Psychological
drug dependence can be very difficult to treat.
DIF: Cognitive Level: ComprehensionREF: p. 246 OBJ: 5
TOP: Nursing Process Step: Planning
MSC: NCLEX Client Needs Category: Psychological Integrity
6. The nurse is preparing to educate a patient and significant other about antianxiety
medications before the patient’s discharge. What is pertinent information to be included in
the teaching plan?
a. Discuss, review, and validate the behavior monitoring system and intervention flow sheet
the patient and significant other will continue to use following discharge.
b. Discuss the possible dependence associated with the medication at length to make
sure the patient does not overuse the drug.
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Test Bank
MULTIPLE CHOICE
1. What is the recommended time over which antianxiety medications must be gradually tapered
before discontinuation?
a. 1 week
b. 1 month
c. 6 months
d. 1 year
ANS: B
Withdrawal from medication should be done under a health care provider’s supervision.
Withdrawal usually takes 4 weeks and requires a gradual reduction in dosage and greater
intervals between medication administrations. One week is an inadequate interval for
cessation of antianxiety medication therapy. Six months to 1 year is much longer than
necessary for cessation of antianxiety medication therapy.
DIF: Cognitive Level: Knowledge REF: p. 246 OBJ: 5
TOP: Nursing Process Step: Planning
MSC: NCLEX Client Needs Category: Psychosocial Integrity
2. Which is a benzodiazepine of choice when treating anxiety associated with alcohol
withdrawal?
a. Chlordiazepoxide (Librium)
b. Oxazepam (Serax)
c. Diazepam (Valium)
d. Clorazepate (Tranxene)
ANS: B
Oxazepam and lorazepam are the drugs of choice in treating anxiety disorders because they
have no active metabolites. Chlordiazepoxide and clorazepate are not the drugs of choice
when treating anxiety associated with alcohol withdrawal. Diazepam has not been studied as
fully as oxazepam in treating patients who have hepatic function impairment.
DIF: Cognitive Level: Knowledge REF: pp. 245-246 OBJ: 1
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Psychosocial Integrity
3. Which is the drug of choice to treat a patient with obsessive compulsive disorder (OCD)?
a. Lorazepam (Ativan)
b. Buspirone (BuSpar)
c. Fluvoxamine (Luvox)
d. Hydroxyzine (Vistaril)
ANS: C
Fluvoxamine inhibits the reuptake of serotonin at the nerve endings, thus prolonging
serotonin activity. Fluvoxamine is used for the treatment of OCD when the obsessions or
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compulsions cause marked distress or interfere substantially with social or occupational
responsibilities. Fluvoxamine does not prevent the obsessions or compulsions; the
therapeutic outcome of this drug is to assist the patient in their management. Lorazepam,
buspirone, and hydroxyzine do not treat the symptoms of OCD.
DIF: Cognitive Level: ComprehensionREF: p. 243 OBJ: 1
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Psychosocial Integrity
4. The outcome statement for a patient suffering from anxiety disorder reads, “After 1 week on
alprazolam (Xanax) therapy, patient will exhibit a manageable level of anxiety.” Which
assessment finding validates that this outcome is met?
a. Patient is unable to participate in group therapy conversations.
b. Patient reports persistent fear about dying of a rare illness.
c. Patient verifies that family reunions trigger anxiety and excessive drinking.
d. Patient reports sleeping better and increased interest in activities.
ANS: D
The primary therapeutic outcome expected from benzodiazepine antianxiety agents is a
decrease in the level of anxiety to a manageable level. Physical signs of anxiety have
decreased, and coping is improved. Being unable to participate in group therapy, persistent
fears, and choosing inappropriate coping mechanisms for noncatastrophic events indicate
that the anxiety is not manageable.
DIF: Cognitive Level: Application REF: p. 244 | p. 246
OBJ: 4 TOP: Nursing Process Step: Evaluation MSC: NCLEX Client
Needs Category: Psychosocial Integrity
5. Which is true regarding psychological drug dependence?
a. It is easier to treat than physiological dependence.
b. It is not considered a true addiction.
c. It is easily controlled by influencing the patient’s perceptions.
d. It requires medical intervention to treat.
ANS: D
Medical intervention is required to treat psychological drug dependence. Psychological
addictions are often more difficult to overcome than physiological addictions. Psychological
drug dependence can be very difficult to treat.
DIF: Cognitive Level: ComprehensionREF: p. 246 OBJ: 5
TOP: Nursing Process Step: Planning
MSC: NCLEX Client Needs Category: Psychological Integrity
6. The nurse is preparing to educate a patient and significant other about antianxiety
medications before the patient’s discharge. What is pertinent information to be included in
the teaching plan?
a. Discuss, review, and validate the behavior monitoring system and intervention flow sheet
the patient and significant other will continue to use following discharge.
b. Discuss the possible dependence associated with the medication at length to make
sure the patient does not overuse the drug.
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