a nurse is providing education to a client who has been prescribed diazepam for anxiety which statement by the client indicates a need for further tea

ATI RN

ATI Mental Health

1. A client prescribed diazepam for anxiety is receiving education from a healthcare professional. Which statement by the client indicates a need for further teaching?

A. I can drink alcohol while taking this medication.
B. I should avoid drinking alcohol while taking this medication.
C. I should take this medication only when I feel anxious.
D. I can stop taking this medication when I feel better.

Correct answer: A

Rationale: The correct answer is A. Clients should avoid alcohol while taking diazepam (Valium) as it can potentiate the effects of the medication, leading to excessive sedation and other adverse effects. Mixing alcohol with diazepam can also increase the risk of overdose and other serious complications. Therefore, it is crucial for the client to refrain from consuming alcohol while on this medication to ensure their safety and optimize the therapeutic benefits of diazepam for managing anxiety.

2. Which statement about the concept of neuroses is most accurate?

A. An individual experiencing neurosis is unaware of the distress they are experiencing.
B. An individual experiencing neurosis feels helpless to change their situation.
C. An individual experiencing neurosis is aware of psychological causes of their behavior.
D. An individual experiencing neurosis has a loss of contact with reality.

Correct answer: B

Rationale: Neurosis involves feelings of distress and anxiety, but individuals experiencing neurosis are usually aware of their distress and its causes. They may recognize that their behaviors are maladaptive and are generally in contact with reality. The accurate statement about neurosis is that an individual feels helpless to change their situation. Choice A is incorrect because individuals with neurosis are usually aware of their distress. Choice C is incorrect because while individuals may be aware of psychological causes, it is not the defining characteristic of neurosis. Choice D is incorrect because a loss of contact with reality is more characteristic of psychosis, not neurosis.

3. A client has been prescribed bupropion (Wellbutrin) for depression. Which instruction should the nurse provide during discharge?

A. Take the medication with a full glass of water.
B. Stop taking the medication if you feel better.
C. Avoid drinking alcohol while taking this medication.
D. Double the dose if you miss a dose.

Correct answer: C

Rationale: The correct instruction for the nurse to provide is to advise the client to avoid drinking alcohol while taking bupropion (Wellbutrin) due to the increased risk of side effects like seizures. Alcohol can interact with bupropion and worsen its side effects, making it important to abstain from alcohol consumption during the treatment. Option A is incorrect because taking the medication with a full glass of water is a general instruction for medications and not specific to bupropion. Option B is incorrect as abruptly stopping bupropion can lead to withdrawal symptoms and should only be done under medical supervision. Option D is incorrect as doubling the dose of bupropion is dangerous and should not be done, even if a dose is missed.

4. Which mood stabilizer is commonly prescribed for bipolar disorder?

A. Sertraline
B. Lithium
C. Clozapine
D. Haloperidol

Correct answer: B

Rationale: Lithium is a well-established mood stabilizer commonly prescribed for the treatment of bipolar disorder. It helps to control manic episodes, stabilize mood swings, and reduce the risk of relapse in individuals with this condition. Sertraline is an antidepressant commonly used for treating depression, while Clozapine and Haloperidol are antipsychotic medications used for different psychiatric conditions. Therefore, the correct answer is B because it is specifically indicated and effective for bipolar disorder.

5. A client has been prescribed lithium for the treatment of bipolar disorder. Which of the following instructions should the nurse include?

A. Avoid driving until you know how the medication affects you.
B. Take the medication with food to prevent stomach upset.
C. You may experience mild nausea when initiating the medication.
D. Do not double the next dose if you miss one.

Correct answer: A

Rationale: The correct instruction for the nurse to provide is to advise the client to avoid driving until they know how the medication affects them. Lithium can lead to side effects like dizziness and drowsiness, which could impair one's ability to drive safely. Choice B is incorrect because lithium is usually taken on an empty stomach. Choice C may be true but is not as critical as the potential side effects affecting driving. Choice D is important but not as immediate as ensuring the client's safety while driving.