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Drinking alcohol or taking other anxiolytics along with the prescribed benzodiazepine should be avoided because depressant effects of both drugs will be potentiated. Tyramine-free diets are necessary only with monoamine oxidase inhibitors (MAOIs). Drowsiness is an expected effect and needs to be reported only if it is excessive. Patients should be taught not to deviate from the prescribed dose and schedule for administration.

PTS: 1 DIF: Cognitive Level: Apply (Application) eBay: testbanks_and_xanax

REF: Pages 15-45, 46, 91 (Box 15-2) TOP: Nursing Process: Planning

MSC: Client Needs: Physiological Integrity a. “I’m sure I will get over not wanting to leave home soon. It takes time.” b. “Being afraid to go out seems ridiculous, but I can’t go out the door.” c. “My family says they like it now that I stay home most of the time.” d. “When I have a good incentive to go out, I can do it.”

28. The nurse assesses a patient who complains of loneliness and episodes of anxiety. Which statement by the patient is mostly likely if this patient also has agoraphobia?

ANS: B

Individuals who are agoraphobic generally acknowledge that the behavior is not constructive and that they do not really like it. The symptom is ego dystonic. However, patients will state they are unable to change the behavior. Agoraphobics are not optimistic about change. Most families are dissatisfied when family members refuse to leave the house.

PTS: 1 DIF: Cognitive Level: Analyze (Analysis)

REF: Pages 15-20, 71 (Table 15-3) | Pages 15-38, 81 (Table 15-8)

TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity a. feelings of responsibility for the health of family members b. approval-seeking behavior from friends and family c. persistent thoughts about bacteria, germs, and dirt d. needs to avoid interactions with others

29. A patient diagnosed with obsessive-compulsive disorder has this nursing diagnosis: Anxiety related to __________ as evidenced by inability to control compulsive cleaning. Which phrase correctly completes the etiological portion of the diagnosis?

ANS: C

Many compulsive rituals accompany obsessive thoughts. The patient uses these rituals for anxiety relief. Unfortunately, the anxiety relief is short lived, and the patient must frequently repeat the ritual. The other options are unrelated to the dynamics of compulsive behavior.

PTS: 1 DIF: Cognitive Level: Understand (Comprehension)

REF: Pages 15-25 to 27, 79 (Table 15-7), 81 (Table 15-8)

TOP: Nursing Process: Diagnosis/Analysis

MSC: Client Needs: Psychosocial Integrity a. Allow the patient to set a hand-washing schedule. b. Encourage the patient to participate in social activities. c. Encourage the patient to discuss hand-washing routines. d. Focus on the patient’s symptoms rather than on the patient.

30. A patient performs ritualistic hand washing. Which action should the nurse implement to help the patient develop more effective coping?

ANS: B