Sertraline (Zoloft) has been prescribed for a patient with symptoms of a major depression. Which factor was probably most important in the physician's decision to use an SSRI?

a. Good side-effect profile
b. Less expense for the patient
c. Increase in medication compliance
d. Rapid rate of absorption from the GI tract


ANS: A
Compared to other antidepressant medication groups, SSRIs have the best side-effect profile. SSRIs are more costly. No studies have shown that SSRIs result in better compliance. These drugs are absorbed slowly from the GI tract.

Nursing

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A patient is scheduled to have excess pleural fluid aspirated with a needle in order to relieve her dyspnea. The patient inquires about the normal function of pleural fluid. What should the nurse describe?

A) It allows for full expansion of the lungs within the thoracic cavity. B) It prevents the lungs from collapsing within the thoracic cavity. C) It limits lung expansion within the thoracic cavity. D) It lubricates the movement of the thorax and lungs.

Nursing

When a client does not show up for a scheduled clinic appointment, which of these factors must the nurse consider as a potential reason?

a. communication misunderstanding b. client indifference c. client laziness d. cultural differences in the meaning of time

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Which criterion is considered analogous to internal validity in the Lincoln & Guba framework?

A) Credibility B) Transferability C) Dependability D) Confirmability

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A 66-year-old woman is retired and no longer has health insurance through her place of employ-ment. Which of the following programs would be appropriate for her health insurance needs?

a. Medicare b. Medicaid c. Social Security d. Economic Opportunity Act

Nursing