Which statement provides the best rationale for closely monitoring a severely depressed patient during antidepressant medication therapy?
a. As depression lifts, physical energy becomes available to carry out suicide.
b. Patients who previously had suicidal thoughts need to discuss their feelings.
c. For most patients, antidepressant medication results in increased suicidal thinking.
d. Suicide is an impulsive act. Antidepressant medication does not alter impulsivity.
ANS: A
Antidepressant medication has the objective of relieving depression. Risk for suicide is greater as the depression lifts, primarily because the patient has more physical energy at a time when he or she may still have suicidal ideation. The other options have little to do with nursing interventions relating to antidepressant medication therapy.
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The most common anxiety disorder is ______________
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During auscultation of all four quadrants of a client's abdomen, the nurse hears 20 or more bowel sounds per minute. How should this finding be documented?
a. "bowel sounds absent" c. "bowel sounds hyperactive" b. "bowel sounds active" d. "bowel sounds hypoactive"
The nurse's client is prescribed medication for anxiety and sleep, and the nurse is providing instruction on lifestyle changes. What would be included in this teaching?
Standard Text: Select all that apply. 1. Avoid caffeine. 2. Avoid smoking. 3. Limit alcohol intake. 4. Exercise before bedtime. 5. Limit the intake of green leafy vegetables.
The client is admitted with a diagnosis of angina. The chest pain occurred while at rest. Which term will the nurse use when documenting this client's angina?
1. Classic angina 2. Stable angina 3. Silent angina 4. Unstable angina