A patient with peripheral neuropathy states, "I don't know why the doctor put me on an antidepressant. I am not depressed!" Which of the following responses by the nurse is best?

a. "Maybe you are more depressed than you realize. Would you like to talk about it?"
b. "Antidepressants are sometimes used to treat nerve pain such as you are experiencing."
c. "Depression is often a factor in pain. Treating the depression helps treat the pain."
d. "Why don't you try it for a while, and if you don't feel better, you can ask your doctor if you can stop it?"


ANS: B
Certain antidepressants have been shown to relieve pain related to neuropathy. Depression is not necessarily a factor in neuropathy. Antidepressants may take several weeks to be effective, so they should not be stopped prematurely.

Nursing

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A nurse new to psychiatry asks her colleague why the newer antipsychotic medications do not cause as many EPSEs as do the conventional antipsychotic medications. Which response, if made by the nurse, is correct?

1. The newer antipsychotics also have a muscle relaxing effect that masks the EPSEs. 2. The newer antipsychotics do not impact dopamine. 3. The newer antipsychotics only act in the lower extrapyramidal dopamine pathways. 4. The newer antipsychotics have less affinity for dopamine receptors and also bind to serotonin receptors.

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An abnormal condition in which the heart contracts regularly but at a rate greater than 100 beats per minute is known as ___________________

ANS:

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List six factors that influence growth and development

What will be an ideal response?

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When you are notified that a patient is ready for admission, you should find out if

A. the patient wants a roommate. B. the patient needs an escort to the room. C. special equipment is needed. D. the patient is hungry or thirsty.

Nursing