Order Anxiety Issues in the Elderly

Order Anxiety Issues in the Elderly
Order 58898332
Order Anxiety Issues in the Elderly
14. An 82 year-old client is prescribed lorazepam (Ativan)
for sleep disturbances. Which of the following reasons
would cause the nurse to question the physician’s
order? Select all that apply.
1. After age 70, lorazepam is no longer effective.
2. The age of the client could indicate a decrease in
hepatic and renal functioning.
3. Metabolic changes in the elderly may affect appropriate absorption of the drug.
4. There is a higher incidence of allergies to hypnotic
medications in the elderly.
5. Elimination issues may cause drug accumulation
in an elderly client’s system.
15. A nursing instructor is grading a matching test related
to various types of therapy used for anxiety disorders.
Which fact has the student correctly matched with the
appropriate therapy?
1. Relaxation training is not a part of this technique:
Systematic desensitization with reciprocal inhibition
2. Progressive exposure to a hierarchy of fear stimuli
while in a relaxed state: habit-reversal therapy
3. Client must participate in real-life situations that he
or she finds extremely frightening, for a prolonged
period of time: implosion therapy
4. Attempts to extinguish unwanted behavior by a
system of positive and negative reinforcements:
flooding
16. Which medication would be a first-line consideration in the treatment of anxiety for a client actively
abusing alcohol?
Order Anxiety Issues in the Elderly
1. Buspirone (BuSpar)
2. Alprazolam (Xanax)
3. Chlordiazepoxide (Librium)
4. Clonazepam (Klonopin)
17. A client who is being treated for an anxiety disorder
with clonazepam (Klonopin) complains that the
medication seems ineffective. To correctly assess
the client, which of the following questions should
the nurse ask? Select all that apply.
1. Are you a smoker?
2. How long have you been taking the drug?
3. How much coffee do you drink?
4. Do you have any kidney problems?
5. Do you take the herbal supplement valerian?
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