a patient with panic disorder is prescribed alprazolam which instruction is most important for the nurse to include in the teaching plan
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Nursing Elites

ATI LPN

ATI Mental Health Practice A 2023

1. A patient with panic disorder is prescribed alprazolam. Which instruction is most important for the nurse to include in the teaching plan?

Correct answer: A

Rationale: The most important instruction for a patient prescribed alprazolam is to avoid driving until they know how the medication affects them. Alprazolam can cause drowsiness and impaired coordination, which may affect the ability to drive safely. This caution is crucial to prevent accidents and ensure the safety of the patient and others on the road.

2. What is the priority nursing intervention for a patient experiencing a panic attack?

Correct answer: A

Rationale: The priority nursing intervention for a patient experiencing a panic attack is to encourage them to focus on deep breathing exercises. This intervention helps the patient manage the physiological symptoms of a panic attack by promoting relaxation and reducing hyperventilation, which are common during such episodes. Deep breathing exercises can help regulate breathing patterns and alleviate feelings of anxiety and panic.

3. When developing a care plan for a patient with generalized anxiety disorder (GAD), which short-term goal is most appropriate?

Correct answer: B

Rationale: Option B, 'The patient will learn and practice relaxation techniques,' is the most appropriate short-term goal for managing generalized anxiety disorder. Teaching relaxation techniques can help the patient develop coping mechanisms and reduce anxiety levels in the immediate future, making it a realistic and beneficial goal. Options A and C are not feasible in the short term as complete elimination of anxiety episodes or avoidance of all anxiety-provoking situations may not be achievable or practical within a week. Option D is not a suitable short-term goal as it overlooks the potential need for medication in managing generalized anxiety disorder.

4. Which of the following medications is commonly used to treat attention deficit hyperactivity disorder (ADHD)?

Correct answer: C

Rationale: Methylphenidate is the correct answer. It is a stimulant medication commonly used to treat ADHD. Methylphenidate works by increasing the activity of certain chemicals in the brain that are involved in attention and impulse control. Sertraline is an antidepressant used for depression, anxiety, and other conditions, not ADHD. Diazepam is a benzodiazepine mainly prescribed for anxiety, muscle spasms, and seizures, not ADHD. Clozapine is an antipsychotic medication used for schizophrenia when other medications are ineffective, not for ADHD.

5. A patient with bipolar disorder is being educated by a nurse on the importance of medication adherence. Which statement by the patient indicates understanding?

Correct answer: B

Rationale: The correct answer is B. Taking medication regularly, even when feeling well, is crucial in managing bipolar disorder. Choice A is incorrect because medication adherence should not be based on symptoms alone. Choice C is incorrect as stopping medication due to side effects should be discussed with a healthcare provider. Choice D is incorrect because relying on memory may lead to missed doses, impacting treatment effectiveness.

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