a patient experiencing generalized anxiety disorder gad is prescribed buspirone what is an important aspect of patient education regarding this medica
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ATI Mental Health Practice A

1. What is an important aspect of patient education regarding buspirone when prescribed for generalized anxiety disorder (GAD)?

Correct answer: C

Rationale: The correct answer is C. When educating a patient about buspirone for generalized anxiety disorder, it is crucial to highlight that buspirone may take 2-4 weeks to become effective. Patients need to be aware of this delayed onset of action to manage their expectations and continue the medication as prescribed. This information helps patients understand that they may not experience immediate relief and should not discontinue the medication prematurely. Choices A, B, and D are incorrect because buspirone is typically taken regularly, not as-needed, it has a lower risk of addiction compared to other anxiety medications, and it does not need to be taken with food for increased absorption.

2. In planning care for the termination phase of a nurse-client relationship, which of the following actions should the nurse include in the plan of care?

Correct answer: A

Rationale: During the termination phase of a nurse-client relationship, it is crucial to discuss ways to use new behaviors. This helps the client integrate and apply the skills and strategies they have acquired during the therapeutic process into their daily life. By focusing on the application of new behaviors, the client can maintain progress and continue to grow even after the professional relationship has ended. Practicing new problem-solving skills, developing goals, and establishing boundaries are important aspects of the therapeutic process but are more commonly addressed in earlier phases of the nurse-client relationship. Therefore, the correct action to include in the plan of care during the termination phase is discussing ways to use new behaviors.

3. The school staff has been alerted to the fact that an 8-year-old boy routinely playacts as a police officer ‘locking up’ other children on the playground to the point where the children get scared. The staff recognizes that this behavior is most likely an indication of:

Correct answer: D

Rationale: This behavior of playacting as a police officer and 'locking up' other children to the point of causing fear may suggest that the child is displaying potential symptoms of traumatization. It could indicate that the child has experienced or witnessed traumatic events, leading to the replication of such scenarios as a coping mechanism or way to process the trauma. Choices A, B, and C are incorrect because the behavior described is more indicative of a potential trauma response rather than a need to dominate others, invent traumatic events, or develop close relationships.

4. Gilbert, age 19, is described by his parents as a ‘moody child’ with an onset of odd behavior at age 14, which caused Gilbert to suffer academically and socially. Gilbert has lost the ability to complete household chores, is reluctant to leave the house, and is obsessed with the locks on the windows and doors. Due to Gilbert’s early and slow onset of what is now recognized as schizophrenia, his prognosis is considered:

Correct answer: D

Rationale: A person like Gilbert, with an early and slow onset of schizophrenia along with severe symptoms such as loss of daily functioning and obsessions, is likely to have a less positive outcome. Early and severe symptoms are often associated with a more chronic and debilitating course of schizophrenia, which can make treatment and recovery more challenging. Therefore, Gilbert's prognosis is considered to have a less positive outcome. Choices A, B, and C are incorrect because Gilbert's condition, with its early onset and severe symptoms impacting daily life, suggests a more challenging prognosis that is less likely to be favorable with just medication or psychosocial interventions. Being in the relapse stage is not the primary concern here; the focus is on the overall outcome which is expected to be less positive given the early and severe nature of Gilbert's symptoms.

5. A patient with obsessive-compulsive disorder (OCD) is under the care of a nurse. Which intervention is most appropriate?

Correct answer: B

Rationale: In managing a patient with OCD, it is crucial to allow them to perform their rituals while gradually limiting the time spent on these rituals. This approach helps the patient feel supported while working towards reducing the compulsive behaviors. Choice A is incorrect because suppressing compulsive behaviors can increase anxiety and distress. Choice C is inappropriate as discussing obsessions is part of therapy. Choice D is not recommended as setting limits on compulsive behaviors is essential for treatment.

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