A nurse is planning care for a 13 -year-old who is experiencing depression. Which medication is approved by the Food and Drug Administration (FDA) for the treatment of depression in adolescents?
1. Paroxetine (Paxil)
2. Sertraline (Zoloft)
3. Citalopram (Celexa)
4. Escitalopram (Lexipro)
4
Rationale: Fluoxetine (Prozac) has been approved by the FDA to treat depression in children and adolescents, and escitalopram was approved in 2009 for treatment of depression in adolescents aged 12 to 17 years. All antidepressants carry an FDA warning for increased risk of suicide in children and adolescents.
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A young man has been diagnosed with hemophilia and the nurse is planning his discharge teaching and includes what teaching point?
A) Using nonsteroidal anti-inflammatory drugs (NSAIDs) for mild pain B) Preventing trauma to the body C) Receiving IV factor VIII therapy at home D) Understanding the condition is an X-linked recessive disorder
To achieve success in the workplace, which action by the nurse would focus on improving skills? (Select all that apply.)
a. Taking a course on communication b. Thinking of a way to improve time man-agement c. Understanding the layout of the hospital d. Spending some time working on organi-zational skills e. Knowing where supplies are on the unit
When planning and providing care to a client of a different culture, the nurse utilizes techniques to enhance communication and implement appropriate and effective interactions
The nurse is utilizing the concepts of culturally competent care that are included in which of the following regulatory bodies' expectations? (Select all that apply.) 1. American Nurses Association Core Competencies 2. International Council of Nurses Code of Nursing 3. National Patient Safety Goals 4. Joint Commission standards 5. American Academy of Nursing Professional Responsibilities 6. American Nurses Association 1991 Position Statement
A patient diagnosed with major depression began taking escitalopram (Lexapro) 5 days ago. The patient now says, "This medicine isn't working." The nurse's best intervention would be to:
a. discuss with the health care provider the need to increase the dose. b. reassure the patient that the medication will be effective soon. c. explain the time lag before antidepressants relieve symptoms. d. critically assess the patient for symptoms of improvement.