C HAPTER 15: D RUGS U SED FOR A NXIETY
D ISORDERS
Willihnganz: Clayton’s Basic Pharmacology for Nurses, 19th Edition
MULTIPLE CHOICE
1. Which information is necessary to provide to a patient prescribed an
azapirone antidepressant?
a. Risk for addiction
b. Adverse effect of nausea
c. Risk of injury when using machinery
d. Additive effects of central nervous system (CNS) depression with
alcohol
ANS: C
The most common adverse effects of azapirone therapy include dizziness,
nervousness, drowsiness, and light-headedness. Azapirones do not have a risk
for abuse or addiction. Nausea and vomiting are not common adverse effect s
of treatment with azapirones. Azapirones do not have CNS depression, but it
is recommended that they not be combined with alcohol or sedatives.
DIF: Cognitive Level: Comprehension REF: p. 234 OBJ: 4
NAT: NCLEX Client Needs Category: Physiological Inte grit y
TOP: Nursing Process Step: Implementation
CON: Clinical Judgment | Patient Education | Safet y
, 2. Which patient is most likel y to respond quickl y to antianxiet y therapy with
benzodiazepines?
a. Patient with a history of long -term anxiety
b. Patient with rec ent anxiet y reactions
c. Patient with severe depression in addition to being anxious
d. Patient with incidents of auditory hallucinations
ANS: B
Patients with anxiet y reactions to recent events and those with a treatable
medical illness that induces anxiet y respond most readil y to benzodiazepine
therapy. Long-term anxiet y is best treated with medications other than
benzodiazepines (e.g., prescription medications such as Zoloft, Paxil, Prozac,
Effexor, and Wellbutrin). Severe depression does not improve with treatment
of benzodiazepines. Patients who are having psychotic symptoms do not
respond to benzodiazepines.
DIF: Cognitive Level: Comprehension REF: p. 232 OBJ: 1 |
3
NAT: NCLEX Client Needs Category: Physiological Integrit y
TOP: Nursing Process Step: Planning CON: Clinical Judgment
3. What instruction is most important for the nurse to teach the patient who
has recentl y been prescribed alprazolam (Xanax)?
a. “The medication needs to be taken on an empt y stomach. ”
b. “You may feel dizz y or unsteady when rising to a standing position. ”
c. “Smoking will require a reduction in dosage of the medication. ”
d. “Over-the-counter medications are safe to take while on this
medication.”
ANS: B
D ISORDERS
Willihnganz: Clayton’s Basic Pharmacology for Nurses, 19th Edition
MULTIPLE CHOICE
1. Which information is necessary to provide to a patient prescribed an
azapirone antidepressant?
a. Risk for addiction
b. Adverse effect of nausea
c. Risk of injury when using machinery
d. Additive effects of central nervous system (CNS) depression with
alcohol
ANS: C
The most common adverse effects of azapirone therapy include dizziness,
nervousness, drowsiness, and light-headedness. Azapirones do not have a risk
for abuse or addiction. Nausea and vomiting are not common adverse effect s
of treatment with azapirones. Azapirones do not have CNS depression, but it
is recommended that they not be combined with alcohol or sedatives.
DIF: Cognitive Level: Comprehension REF: p. 234 OBJ: 4
NAT: NCLEX Client Needs Category: Physiological Inte grit y
TOP: Nursing Process Step: Implementation
CON: Clinical Judgment | Patient Education | Safet y
, 2. Which patient is most likel y to respond quickl y to antianxiet y therapy with
benzodiazepines?
a. Patient with a history of long -term anxiety
b. Patient with rec ent anxiet y reactions
c. Patient with severe depression in addition to being anxious
d. Patient with incidents of auditory hallucinations
ANS: B
Patients with anxiet y reactions to recent events and those with a treatable
medical illness that induces anxiet y respond most readil y to benzodiazepine
therapy. Long-term anxiet y is best treated with medications other than
benzodiazepines (e.g., prescription medications such as Zoloft, Paxil, Prozac,
Effexor, and Wellbutrin). Severe depression does not improve with treatment
of benzodiazepines. Patients who are having psychotic symptoms do not
respond to benzodiazepines.
DIF: Cognitive Level: Comprehension REF: p. 232 OBJ: 1 |
3
NAT: NCLEX Client Needs Category: Physiological Integrit y
TOP: Nursing Process Step: Planning CON: Clinical Judgment
3. What instruction is most important for the nurse to teach the patient who
has recentl y been prescribed alprazolam (Xanax)?
a. “The medication needs to be taken on an empt y stomach. ”
b. “You may feel dizz y or unsteady when rising to a standing position. ”
c. “Smoking will require a reduction in dosage of the medication. ”
d. “Over-the-counter medications are safe to take while on this
medication.”
ANS: B
