The nurse is caring for a client who has been diagnosed with generalized anxiety disorder. The nurse should anticipate a prescription for which medication? Select all that apply.
The nurse is caring for a client who has been diagnosed with generalized anxiety disorder. The nurse should anticipate a prescription for which medication? Select all that apply.
Statistics
Subject/Lesson
Subject
Pharmacology
Lesson
Psychiatric Medications
Client Need
Test Plan
Pharmacological and Parenteral Therapies
Related Topic
Expected Actions/Outcomes
Item Type
Item Type
Knowledge/Comprehension
Explanation
Choices A and C are correct. Generalized anxiety disorder is treated with selective serotonin reuptake inhibitors (citalopram) and/or short-term use of a benzodiazepine (alprazolam). Although benzodiazepines are not the gold standard in treating GAD, they are commonly used until the SSRI can gain efficacy which may take about 4 to 6 weeks.
Choices B, D, and E are incorrect. Methylphenidate is a psychostimulant indicated in managing attention deficit hyperactivity disorder (ADHD). Haloperidol is a typical antipsychotic used to treat schizophrenia and other psychotic disorders. Zolpidem is a non-benzodiazepine hypnotic indicated in the treatment of insomnia. These medications are not used in the treatment of GAD.
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Additional Info
✓ GAD is a disorder where the client may have an excessive worry that causes impairment in functioning and interpersonal relationships
✓ Treatment is best achieved through a combination of psychotherapy and SSRIs (fluoxetine, citalopram). Occasionally, buspirone may be used as well
✓ Benzodiazepines (alprazolam, diazepam, clonazepam) may be used short-term for significant anxiety until the SSRI gains optimal efficacy
