Nursing Elites

1. Which symptom is most commonly associated with generalized anxiety disorder (GAD)?

• A. Frequent panic attacks
• B. Persistent and excessive worry
• C. Recurrent, intrusive thoughts
• D. Compulsive behaviors

Correct answer: B

Rationale: The correct answer is B: Persistent and excessive worry. Generalized anxiety disorder (GAD) is characterized by persistent and excessive worry about a variety of things, even when there is little or no reason to worry. This worry is difficult to control and can significantly impact daily life. While panic attacks, recurrent intrusive thoughts, and compulsive behaviors can occur in other anxiety disorders, persistent and excessive worry is the hallmark symptom of GAD. Therefore, choices A, C, and D are incorrect as they do not represent the primary symptom associated with GAD.

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

• A. Buspirone is an as-needed medication for anxiety.
• B. Buspirone has a high risk of addiction and dependence.
• C. Buspirone may not become effective until 2-4 weeks after starting the medication.
• D. Buspirone should be taken with food to increase absorption.

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.

3. A patient with bipolar disorder is prescribed lithium. What is a common side effect the nurse should monitor for?

• A. Increased energy
• B. Constipation
• C. Weight gain
• D. Dry mouth

Correct answer: C

Rationale: Weight gain is a common side effect associated with lithium therapy. It is essential for the nurse to monitor the patient for changes in weight as it can impact the individual's overall health and well-being. Patients on lithium should be advised on dietary and lifestyle modifications to manage potential weight gain and maintain a healthy weight.

4. While being treated in an inpatient facility, what is the most appropriate intervention for a patient with anorexia nervosa?

• A. Allowing the patient to eat alone to reduce stress
• B. Monitoring the patient's weight daily
• C. Encouraging the patient to exercise daily
• D. Providing the patient with a high-calorie diet

Correct answer: B

Rationale: Monitoring the patient's weight daily is the most appropriate intervention for a patient with anorexia nervosa being treated in an inpatient facility. This approach helps healthcare providers track the patient's progress, assess nutritional status, and promptly identify any concerning changes or trends that may require intervention.

5. Which of the following is a positive symptom of schizophrenia?

• A. Apathy
• B. Social withdrawal
• C. Delusions
• D. Flat affect

Correct answer: C

Rationale: The correct answer is 'C: Delusions.' Positive symptoms of schizophrenia involve an excess or distortion of normal functions. Delusions are fixed false beliefs that are not based in reality and are considered positive symptoms because they represent an addition of abnormal behavior or thoughts.

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