Nokea
A nurse is contributing to the plan of care for a client who is to start therapy with fluoxetine. Which of the following is an expected outcome for this client?
- A. Reduction in hand tremors.
- B. Absence of seizures.
- C. Decreased hallucinations.
- D. Improved mood.
Correct Answer: D
Rationale: Fluoxetine, an SSRI, is expected to improve mood in clients with depression. This is its primary therapeutic effect, unlike reducing tremors or hallucinations.
You may also like to solve these questions
A nurse in a mental health facility is collecting a blood specimen from a client. The client is hallucinating and states
- A. That looks like a snake
- B. and I won't let it take all of my blood.' Which of the following responses should the nurse make?
- C. I don’t see a snake, but that must be scary for you.
- D. I’m using a syringe to obtain your blood, not a snake.
- E. Your provider requires this blood specimen.
- F. You must be mistaken.
Correct Answer: A
Rationale: Acknowledging the client's fear and providing reassurance without confirming the hallucination helps build trust and reduce anxiety. This empathetic response supports the client’s emotional state.
A nurse is preparing to administer sertraline 50 mg PO once daily to a client who has depressive disorder. Available is sertraline oral solution 20 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 2.5
Rationale: Step 1: (50 mg ÷ 20 mg/mL) × 1 mL = 2.5 mL. The nurse should administer 2.5 mL to deliver the prescribed 50 mg dose, calculated based on the concentration of the available solution.
A nurse is beginning a therapeutic relationship with a client who has paranoid personality disorder. Which of the following strategies should the nurse plan to use?
- A. Demonstrate a neutral demeanor.
- B. Use an overly friendly approach.
- C. Ask the client why he is suspicious of others.
Correct Answer: A
Rationale: Demonstrating a neutral demeanor helps build trust with a client who has paranoid personality disorder. This non-threatening approach avoids triggering suspicion, fostering a therapeutic relationship.
A nurse is reinforcing teaching with a client who has bipolar disorder and has a new prescription for lithium. To address possible adverse effects
- A. the nurse should include that which of the following laboratory values will be monitored while the client is taking this medication?
- B. Liver enzymes.
- C. Sodium level.
- D. Uric acid.
- E. Erythrocyte sedimentation rate.
Correct Answer: B
Rationale: Sodium levels must be monitored while taking lithium because lithium can alter sodium and fluid balance. Changes in sodium levels can affect lithium levels and potentially lead to toxicity, making this a critical monitoring parameter.
A nurse in a mental health clinic is collecting data from a client to determine the client's risk for suicide. Which of the following findings should the nurse identify as a risk factor for suicide?
- A. Currently married.
- B. Access to guns in the home.
- C. Terminal liver cancer.
- D. Alcohol use disorder.
Correct Answer: B,C,D
Rationale: Access to guns in the home, terminal liver cancer, and alcohol use disorder are significant risk factors for suicide. Guns increase lethality, terminal illness causes distress, and alcohol impairs judgment and increases impulsivity, all elevating suicide risk.