The primary care NP has prescribed sertraline (Zoloft) for a patient who initially reported daily symptoms of hopelessness, sadness, insomnia, and weight loss
After several months of therapy, the patient no longer feels hopeless or sad but continues to have difficulty eating and sleeping. The NP should contact the patient's psychiatrist to discuss: a. adding mirtazapine (Remeron).
b. changing to duloxetine (Cymbalta).
c. adding another selective serotonin reuptake inhibitor (SSRI) antidepressant.
d. an inpatient admission to the hospital.
A
Mirtazapine may be added to the drug regimen for partial responders who continue to feel anxious. Changing medications is not recommended. Adding another SSRI is contraindicated because of the risk of serotonin syndrome. An inpatient hospital admission is not warranted.
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A client arrives at the orthopedic clinic and informs the nurse that he thinks he has another stress fracture of the right foot. The physician orders an x-ray with negative results
What does the nurse understand that these negative results can mean? A) The client does not have a stress fracture. B) The client probably has a strain. C) The stress fracture may not be seen on x-ray for a few weeks. D) The physician may have misread the x-ray.
A new nurse wishes to show concern and caring by using touch and seeks advice on the most appropriate ways of doing so. An experienced nurse explains that (Select all that apply.)
a. because of negative experiences, some patients do not want to be touched. b. nurses should be cautious about touching a patient of the opposite sex. c. patients' culture can strongly influence a nurse's ability to use touch. d. the nurse should assess whether touch is acceptable to patients or not. e. touch can be used in the absence of any other communication technique.
A patient scheduled for an early-morning electroconvulsive therapy (ECT) treatment asks a nurse, "Am I going to be able to eat breakfast before I go for ECT?" Which response by the nurse is most appropriate?
a. "No, but you can have your breakfast when you get back to the unit.". b. "You can have a light, liquid breakfast along with your medications.". c. "You may only have enough liquids before the procedure to swallow your allergy medications.". d. "Yes, but you need to get up early so you can fast for 2 to 4 hours before your ECT treatment begins.".
Which of the following domains would be used to teach a new diabetic how to give an insulin injection?
a. Developmental b. Cognitive c. Affective d. Psychomotor