A client has been placed on amitriptyline (Elavil) 50 mg tid. What information about the ex-pected outcome of this medication therapy would the nurse give the client? "This medication is expected to:
1. cure your depression."
2. improve brain chemical imbalance."
3. help you understand your distorted thinking."
4. give you the opportunity to unlearn your helplessness."
ANS: 2
Antidepressant medication works by reestablishing the balance of neurotransmitters in the brain, particularly serotonin and norepinephrine. 1. Antidepressants do not promise a cure for depres-sion. 3. Cognitive therapy, rather than antidepressants, addresses this. 4. Learned helplessness is addressed by cognitive therapy.
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A mother expresses concern that her 7-year-old has episodes of nocturnal enuresis approximately 3 to 4 times per week. The nurse's best response would be which of the following? Choose all that apply
a. "Your daughter's bladder is still developing at this point in her life." b. "Be patient; most children outgrow enuresis." c. "Wake your daughter every 4 hours to use the bathroom." d. "You might consider purchasing protective pads for the bed." e. "Try a bed alarm to wake her when she starts wetting the bed at night."
The nurse is preparing a teaching-learning session on diabetes. The BEST description of this activity is:
a. an interaction between teacher and student b. a planned interaction promoting behavior change unrelated to maturation or coincidence c. a student completion of activities assigned by a teacher d. an exchange of information between teacher and student
Which of the following areas of cultural behaviors would a nurse be assessing if using the transcultural nursing assessment tool?
1. Communication, social organization, biological variation, and socioeconomic factors 2. Communication, time, biological variation, and socioeconomic factors 3. Space, time, biological variation, and socioeconomic factors 4. Communication, social organization, time, and biological variation
A patient who has been prescribed oral ferrous sulfate reports taking extra doses for the past few months. The patient's serum iron level is 560 mcg/dL. What will the nurse expect the provider to order for this patient?
a. Discontinuing the ferrous sulfate and re-checking the iron level in 1 month b. Gastric lavage and treatment for acidosis and shock c. Giving oral deferasirox [Exjade] d. Giving parenteral deferoxamine [Desferal]