The spouse of a client being treated for depression tells the nurse that she does not believe the client is responding to the medication. Which of the following responses should the nurse make to the spouse?
1. "Stop the medication immediately.".
2. "Stay on the medication for 6 months to see if there is a response.".
3. "A trial and error period is the best way to determine which medication is the most effective.".
4. "Learn to live with the depression.".
3. "A trial and error period is the best way to determine which medication is the most effective.".
Rationale:
A trial and error period may be needed to determine what medication is best for the person. About 30% of clients do not respond to their antidepressant in a trial of four to six weeks. Do not stop medications without notification of the prescriber. Antidepressant medication is often prescribed for clients with depression symptoms. Stating that the spouse will have to learn to live with the depression is inappropriate.
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When considering communication skills, the nurse caring for an older client anticipates that the client will:
1. Interrupt frequently. 2. Take longer to respond. 3. Answer questions with one-word responses. 4. Remain silent.
Which is a true statement?
a. Urine flow gradually decreases in old age. b. Elders generally need less fluid than younger people because of their lower body water content. c. Urine specific gravity and skin turgor can be used to diagnose dehydration in elders and in younger people. d. Multiple physiological changes of aging place elders at greater risk of dehydration than middle-aged persons or children.
On the fourth postoperative day after a modified radical mastectomy, the nurse finds the patient with her back to the nurse. She is crying and tells the nurse she feels ugly and is worried that her husband will not be in love with her anymore
The nurse bases subsequent nursing interventions on what diagnosis? a. Disturbed body image related to removal of her breast b. Deficient knowledge related to inadequate education c. Impaired social interaction related to depression d. Fear related to the cancer diagnosis and surgical intervention
Turner syndrome is suspected in an adolescent girl with short stature. This is caused by:
a. absence of one of the X chromosomes. b. presence of an incomplete Y chromosome. c. precocious puberty in an otherwise healthy child. d. excess production of both androgens and estrogens.