A nurse on an inpatient psychiatric unit is caring for a client who has generalized anxiety disorder. Medical History Client has history of excessive worrying for the past 9 months, evidenced by feelings of restlessness, excessive irritability, and difficulty sleeping. Client has been increasingly isolating from family and friends and missing work the past few weeks. Denies use of any recreational drugs or alcohol. Admits to avoiding sexual relations with partner within past few months. Vital Signs Blood pressure: 128/86 mm Hg Heart rate: 122/min Respiratory rate: 28/min and deep Temperature: 37.2° C (99.4° F) Nurses Notes Trembling, easily startled, laughs inappropriately. Wringing hands, grinding teeth, diaphoretic – constantly moving around room. Poor recall of recent events and having difficulty concentrating. States, "it feels like something is sitting on my chest and I am feeling dizzy." Medication Administration Acetaminophen 650 mg PO every 6 hr as needed for temp greater than 37.8° C (100° F) Alprazolam 0.5 mg PO three times daily Choose 4 answers.