A client has been hospitalized for severe depression in the past, but has had difficulty finding stabilization on medication. The client is found unconscious, but still breathing, with an empty bottle of sertraline (Zoloft) beside her
She is stabilized in an emergency department and is then admitted to a psychiatric unit. A nurse understands that a physician may order electroconvulsive therapy (ECT) for this client for what reason?
A) Because the physician does not want to try further medication
B) Because ECT has proven to be effective in acutely suicidal clients and in clients whose therapeutic regimen has been ineffective
C) Because it is a less expensive treatment than prescribing further medication
D) Because ECT should abolish the client's suicidal and depressive symptoms instantly
B
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A 76-year-old right-handed patient has been admitted to the critical care unit with an intracerebral hemorrhage. A CT of her head reveals a large left parietal area bleed
Based on the type of stroke she experienced, which of the following signs and symptoms might she exhibit? a. Right-sided hemiplegia and receptive aphasia b. Left-sided hemiplegia and tactile agnosia c. Decorticate posturing and unequal pupils d. Unilateral neglect and dressing apraxia
A public health nurse works with numerous patients who live with chronic obstructive pulmonary disease (COPD) in the community and has seen firsthand the effects of many of the risk factors underlying the disease
Which of the following public health initiatives addresses the most salient risk factor for COPD? A) Close follow-up of older adults who have a history of pneumonia B) Allergy screening for elementary school students C) A lung health awareness program at a large industrial complex D) An anti-smoking campaign in a junior high school
Three servings of milk, yogurt, or cheese plus two servings of meat, poultry, or fish will adequately supply the recommended amount of protein for the pregnant woman
Many patients are concerned about the increased levels of mercury in fish and may be afraid to include this source of nutrients in their diet. Sound advice by the nurse to assist the pa-tient in determining which fish is safe to consume would include: a. Canned white tuna is a preferred choice. b. Avoid shark, swordfish, and mackerel. c. Fish caught in local waterways are the safest. d. Salmon and shrimp contain high levels of mercury.
The nurse is caring for a young client who has acquired immune deficiency syndrome (AIDS) and a very low CD4+ cell count. The nurse is teaching the client how to avoid infection at home
Which statement by the client indicates that additional teaching is needed? a. "I will let my sister clean my pet iguana's cage from now on." b. "My brother will change the kitty litter box from now on." c. "It will seem funny but I'll run my tooth-brush through the dishwasher." d. "I will not drink juice that has been sitting out for longer than an hour."