A patient tells the nurse, "My doctor prescribed Paxil (paroxetine) for my depression. I assume I'll have side effects like I had when I was taking Tofranil (imipramine)." The nurse's reply should be based on the knowledge that paroxetine is a(n):

a. selective norepinephrine reuptake inhibitor.
b. tricyclic antidepressant.
c. MAO inhibitor.
d. SSRI.


ANS: D
Paroxetine is an SSRI and will not produce the same side effects as imipramine, a tricyclic antidepressant. The patient will probably not experience dry mouth, constipation, or orthostatic hypotension.

Nursing

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The nurse manager received an award because the manager's staff had taken fewer sick days than staff in other units in the hospital. The nurse manager felt that the unit demonstrated high morale and high productivity

According to McClelland's basic needs theory, the nurse manager was demonstrating what type of need? a. A need for advancement b. A need for achievement c. A need for power d. A need for affiliation

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A nurse differentiates between dementia and depression in an older adult. Which of the following assessment findings leads the nurse to believe that the client has depression?

A) The client has socially unacceptable behaviors. B) The client is negativistic. C) The client's mood fluctuates. D) The client's mood is distractible.

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A patient diagnosed with schizophrenia says, "My co-workers are out to get me. I also saw two doctors plotting to kill me." How does this patient perceive the environment?

a. Disorganized b. Dangerous c. Supportive d. Bizarre

Nursing

Patients usually know about impending death even if they have not been told.

Answer the following statement true (T) or false (F)

Nursing