A client with somatic symptom disorder (SSD) also has anxiety. Which of the following would the nurse expect to be prescribed?
A) Monoamine oxidase inhibitor (MAOI)
B) Selective serotonin reuptake inhibitor (SSRI)
C) Tricyclic antidepressant (TCAs)
D) Atypical antipsychotic
Ans: B
For the client with somatic symptom disorder and anxiety, SSRIs are used in a higher dose than that prescribed for depression to relieve and manage the symptoms. Phenelzine is one MAOI that has been effective in treating not just depression, but also the chronic pain and headaches common in people with SSD. TCAs and atypical antipsychotics would not be used.
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A client asks the nurse what ventilation is. What is the most appropriate response by the nurse?
1. "Ventilation is the process by which gases are exchanged." 2. "Ventilation is the process of moving air into and out of the lungs." 3. "Ventilation is the blood flow through the lung." 4. "Ventilation is taking a breath in."
A nurse working with Mary Breckinridge would have likely assisted with:
a. Establishing the Henry Street Settlement b. Developing health programs geared toward improving the health care of the rural populations c. Blazing a nursing trail through the Rockies, providing nursing care to miners and their families d. Teaching birth control measures to large numbers of women in the South
When a woman chooses care outside of the National Midwifery Guidelines for Consultation and Referral, the midwife should:
a. ignore the woman's decision and do what she (the midwife) thinks is best. b. ask another medical specialist to convince the woman to change her mind. c. support the woman's legal right to make decisions regarding her care. d. immediately dissolve the partnership with the woman.
The mother of a client newly diagnosed with schizophrenia is a nurse. She unhappily tells the nurse on the unit, "I've tried to be a good mother, but my daughter still developed schizophrenia
When I was in school, we were taught that it was the mother's fault if a child became schizo-phrenic. I wish I knew what I did wrong." The response that would help the mother evaluate models explaining schizophrenia would be: 1. "I can see how you would be upset over this turn of events." 2. "New findings suggest this disorder is biologic in nature." 3. "Don't be so hard on yourself; your daughter needs you to be strong." 4. "It's difficult to see that double-bind communication produces stress for the child at the time it's occurring."