A patient has been taking fluoxetine [Prozac] for 2 years and reports feeling cured of depression. The nurse learns that the patient is sleeping well, participates in usual activities, and feels upbeat and energetic most of the time
The patient's weight has returned to normal. The patient reports last having symptoms of depression at least 9 months ago. What will the nurse tell this patient? a. Indefinite drug therapy is necessary to maintain remission.
b. Discuss gradual withdrawal of the medi-cation with the provider.
c. Stop the drug while remaining alert for the return of symptoms.
d. Take a drug holiday to see whether symptoms recur.
B
Abrupt discontinuation of selective serotonin reuptake inhibitors (SSRIs) can cause a withdrawal syndrome, so these drugs should be withdrawn gradually. After symptoms are in remission, treatment should continue for 4 to 9 months to prevent relapse; these drugs are not taken indefi-nitely. It is incorrect to counsel the patient to stop taking the drug without tapering it. Drug holi-days are used to minimize sexual dysfunction side effects, not to monitor symptoms.
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a. Avoid taking antibiotics. b. Increase her fluid intake. c. Avoid high-fiber foods. d. Limit her activity for the first 3 to 4 days.
As a part of a malpractice case, the hospital has decided to bring an indemnity claim against a nurse. What is the implication to the nurse?
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HIPAA gives patients greater control over their medical records. What else does HIPAA provide?
A) Copying of medical records B) Education of lay people about medical records C) Patient recourse if privacy protections are violated D) Legal use of medical records
Parents of an 11-year-old girl are concerned because she spends so much time playing video games. The parents ask if there are any advantages to playing these games. The nurse explains that there are some advantages to playing these games
The advantages include: a. Develops eye-hand coordination b. Improves visual perception c. Develops attention to detail d. All of the above