A young adult patient has been taking an antidepressant medication for several weeks and reports having increased thoughts of suicide. The nurse questions further and learns that the patient has attempted suicide more than once in the past
The patient identifies a concrete plan for committing suicide. The nurse will contact the provider to discuss: a. changing the medication to another drug class.
b. discontinuing the medication immediately.
c. hospitalizing the patient for closer moni-toring.
d. requiring more frequent clinic visits for this patient.
C
Patients with depression often think of suicide, and during treatment with antidepressants, these thoughts often increase for a time. Patients whose risk of suicide is especially high should be hospitalized. All antidepressants carry this risk, so changing medication is not recommended. Discontinuing the medication is not recommended. More frequent clinic visits are recommended for patients with a low to moderate risk of suicide.
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A 72-year-old man is taking Adderall XR for the treatment of narcolepsy. He is currently having problems with not being able to swallow large tablets or capsules
The man also wears dentures, which makes it even more difficult for him to swallow medication. He is in the clinic to talk to the nurse about his problem. The nurse will instruct him to A) swallow the capsule with 8 ounces of water. B) ask his physician to prescribe an alternative drug. C) open the capsule and sprinkle the beads in applesauce. D) open the capsule and crush the beads.
The nurse is discussing with a patient the key points about taking an over-the-counter (OTC) medication. The nurse should include which of the following information?
1. "The medicine will maintain its potency for 3 months after the expiration date." 2. "Take the medicine until it is finished." 3. "If symptoms persist, stop treating yourself and see your doctor." 4. "Adjust the dosage to your specific needs."
Cognitive theorists believe that depression has its origins in:
A) The way people perceive events and situations in their lives B) The experience of some kind of loss C) Chemical imbalances in the brain D) Gender differences
Which symptom should the nurse instruct the client prescribed diphenhydramine (Benadryl) to report to the healthcare provider?
A. Sedation B. Diarrhea C. Weight gain D. Urinary hesitancy