A psychiatric clinical nurse specialist presenting a class to nursing students on treating depression in patients with HIV discusses treatment options for depression in this patient population and informs the students
that the initial treatment approach integrates:
A) Psychotherapy and pharmacology
B) Psychotherapy and electroconvulsive therapy
C) Pharmacology and vocational counseling
D) Electroconvulsive therapy and vocational counseling
Ans: A
Feedback: Treatment for depression in people with HIV infection involves psychotherapy integrated with pharmacology. If depressive symptoms are severe and extended in duration, treatment with antidepressants may be initiated. Electroconvulsive therapy may be an option for patients with severe depression who have not responded to pharmacologic intervention, but it is not an initial treatment approach. Vocational counseling may be integrated into the psychotherapy, if applicable.
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The difference between an excisional biopsy and an incisional biopsy is that an excisional biopsy involves the:
a. use of a needle to obtain fluid samples. b. removal of the entire lesion. c. taking a "bite" from the lesion for study. d. shaving of the superficial layers of the lesion.
A nurse is providing care for an 82-year-old woman on the palliative care unit of a hospital. The woman has a long-standing diagnosis of diabetes that has manifested in serious cardiac problems and she is not expected to survive the weekend
How can the nurse best understand this course of events in light of the chronic care that the patient has long received? A) Death represents the ultimate failure of the provision of care. B) Dying in comfort and dignity is the final component of high-quality chronic care. C) The period of death represents the transition from chronic care to acute care. D) Holistic, chronic care requires that the nurse limit care to psychosocial interventions.
A client with schizophrenia anxiously describes seeing the left side of her body merge with the wall
as she walked down the corridor and of seeing her face appear and disappear in the bathroom mirror. As the nurse listens she should a. sit close to the client on the bed. b. place an arm protectively around the client's shoulders. c. place a hand on the client's arm and exert light pressure. d. maintain the normal social interaction distance from the client.
A team leader is preparing to type the evening shift report. Which comment should be included in the report?
a. Patient A complained of a headache until his wife arrived to visit. She was 20 mi-nutes late because of unavoidable traffic. b. Patient B ate everything on her dinner tray—roast beef, mashed potatoes, and green beans—and the dessert, too, which is her usual pattern. c. Patient C was so restless that the dressing on her sacrum came off and had to be re-placed. No change occurred in the as-sessment of the decubitus. d. Patient D had her usual visitors. She is sleeping after her regular evening medica-tions, which were given as ordered at 2000.