A client receives a diagnosis of bipolar I disorder, current episode depressed. A physician prescribes paroxetine (Paxil) for the client. The client is encouraged to participate in unit activities and to talk about her feelings
Despite all efforts, the client's depression becomes profound. The client is in total despair and is in a vegetative state. The physician obtains consent to perform electroconvulsive therapy (ECT). What is the rationale behind this treatment for profound depression?
A) The client is made to forget painful memories from the past and to go on with her life.
B) The treatment causes stimulation of the central nervous system (CNS) similar to CNS stimulant medication, thereby lifting mood.
C) The treatment satisfies the need for punishment that severely depressed clients sometimes think they deserve.
D) The treatment is thought to increase levels of norepinephrine and serotonin, resulting in mood elevation.
D
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A patient with hyperemesis gravidarum asks the nurse what would have happened if she had not come to the hospital. The nurse explains that if untreated, this condition could result in:
a. a large for gestational age infant. b. anorexia nervosa. c. preterm delivery. d. maternal or fetal death.
A patient has undergone bone marrow transplant. Which injection should the nurse anticipate this patient will receive to help stabilize the immune response and prevent rejection?
a. Dexamethasone (Decadron) b. Filgrastim (Neupogen) c. Zidovudine (Retrovir) d. Nevirapine (Viramune)
Discrimination based on race or color is known as ____
a. Cynicism b. Prejudice c. Racism d. Stereotype
A client's spouse becomes anxious and demonstrates hostility toward the nurse. The best response by the nurse is to
a. recognize the spouse feels a sense of control. b. view the hostility as a personal attack. c. become stoic and refrain from listening to the spouse. d. respond empathetically to contributory themes and feelings.