A mother brings her child to the clinic requesting a selective serotonin reuptake inhibitor (SSRI) to help treat her daughter's posttraumatic stress disorder (PTSD). Which rationale will the nurse use when responding to the child's mother?
A.
Children have too many side effects from SSRIs.
B.
Research shows that treating specific symptoms is better.
C.
SSRIs have a long history of successful use in PTSD.
D.
This classification of drugs has rarely been used in PTSD.
ANS: B
Although SSRIs have long been used as first-line treatment for PTSD, there is scant evidence supporting this practice. Research supports treating specific symptoms as they arise.
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Which of the following best explains why most states have the legal drinking age set at 21 years old?
a. At 21 years of age, most Americans consider a person an adult. b. College is completed, and employment has begun by 21 years of age. c. Most 21-year-olds are self-supporting and no longer dependent on parents. d. The alcohol-related death rate rose alarmingly when drinking age was lowered to 18 years.
An inmate with schizophrenia does not respond when the guard tells him to ask the desk officer for a mop and bucket, then get water from the shower area and mop the center aisle. The guard becomes angry and cancels the inmate's recreation break
Which response by the corrections nurse would be most appropriate? a. Document the patient's response as indicating that he is resistant and would benefit from a behavior modification plan. b. Suggest to the jail psychiatrist that when he next does rounds, he reevaluate the patient's medications and talk to the inmate about cooperating. c. Explain to the guard that schizophrenia makes it hard to follow multistep instructions, and suggest assigning one action at a time. d. Do not intervene, because it would be inappropriate for a corrections nurse to serve as a patient advocate.
The nurse provides information about treatment options to a patient who has been diagnosed with diabetes mellitus. What patient advocacy model is this nurse using?
1. Autonomy model 2. Values-based decision model 3. Respect for persons model 4. Patient benefit model
A 4-year-old child tells the nurse that she does not want another blood sample drawn because "I need all my insides, and I don't want anyone taking them out." Which is the nurse's best interpretation of this?
a. Child is being overly dramatic. b. Child has a disturbed body image. c. Preschoolers have poorly defined body boundaries. d. Preschoolers normally have a good understanding of their bodies.