A patient who has been taking a monoamine oxidase inhibitor (MAOI) for depression for several months tells the provider that the medication has not helped with symptoms. The provider plans to switch the patient to an SSRI
The nurse will teach this patient to: a. start taking the SSRI and stop the MAOI when symptoms improve.
b. start taking the SSRI and then gradually withdraw the MAOI.
c. stop taking the MAOI and wait 5 weeks before starting the SSRI.
d. stop taking the MAOI 2 weeks before starting the SSRI.
D
MAOIs increase 5-HT availability, thus greatly increasing the risk of serotonin syndrome. MAOIs should be withdrawn at least 14 days before an SSRI is started. An SSRI should never be given at the same time as an MAOI. It is not necessary to wait 5 weeks before starting an SSRI.
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The nurse is preparing a discussion on reproductive cancer screening for elderly women. The nurse would advise the client to
A) eliminate Pap smears if high risk factors are absent. B) eliminate self-breast exams because the client finds this socially unacceptable. C) obtain mammography every other year after the age of 40. D) avoid hormone replacement therapy for vasomotor symptoms.
A 50-year-old woman with terminal cancer of the lung with extensive metastasis is requesting a hospice transfer. The requirements for this transfer include:
1. the patient requesting and agreeing to the guidelines of hospice care, but not re-quiring a physician's order. 2. physician confirmation that the patient has 6 months or less of life remaining and a written order for hospice care. 3. proof that the family can no longer care for the patient at home. 4. a specific diagnosis on a list of accepted diseases that qualifies the patient for hospice care.
An adult has felt much tension since losing a home by foreclosure. This person goes to a park, feeds the birds, and then impulsively exposes himself/herself to a group of parents and children. Which term applies to this behavior?
a. Voyeurism b. Dyspareunia c. Exhibitionism d. Sexual masochism
Culture is a set of beliefs, values, and assumptions about life that are widely held among a group of people and are transmitted intergenerationally. An example of a behavior that may be defined by culture is:
1. Speaking a dialect of a language in a local region 2. Standing when an older adult gets on the bus to give him a seat 3. Immigrating to the United States seeking work 4. An organizational structure of a cultural group