Final answer:
The most accurate response is to inform the patient about the severe adverse effects of stopping lorazepam suddenly due to risk of withdrawal and dependence. A gradual taper under medical supervision is recommended, and maintaining employment does not preclude the possibility of addiction.
Step-by-step explanation:
The most accurate statement the nurse can make to a patient who has been taking lorazepam (Ativan) 1 mg three times a day for the last five years is "There are potential severe adverse effects if you stop this medication suddenly." This is because benzodiazepines, such as lorazepam, can lead to physical dependence and withdrawal symptoms if stopped abruptly. Lorazepam is a medication known for treating anxiety and is among drugs that are at risk for dependency and withdrawal. The correct approach would be a gradually tapered discontinuation under medical supervision to minimize withdrawal symptoms and any potential rebound anxiety. It is important to understand that medication like lorazepam can lead to both tolerance and dependence, which are different from addiction, although addiction can also occur. Addiction involves a compulsion to take the drug despite negative consequences, while dependence is a physiological state where the body adapts to the drug's presence. The nurse should not encourage the patient to stop taking lorazepam immediately due to the risk of severe withdrawal effects that may pose a significant health risk.
Moreover, patients taking benzodiazepines should not be labeled as addicts simply because they are able to maintain employment; addiction is characterized by a range of behaviors that impact various aspects of life, not just the ability to work.