Nokea
A patient who is taking a monoamine oxidase inhibitor (MAOI) asks the nurse about the addition of St. John's wort to help with his depression. What would be the best response of the nurse?
- A. That is a great idea. Alternative therapies can be very helpful.
- B. You will feel better sooner if you include phenylalanine.
- C. Did you know that St. John's wort can raise your blood pressure dramatically?
- D. You will need to drink lots of water.
Correct Answer: C
Rationale: St. John's wort can raise blood pressure dramatically in people who are also taking MAOIs.
You may also like to solve these questions
A young man with malaria spikes a temperature of 105°F (40.5°C) and begins to hallucinate. How should the nurse assess this?
- A. Delirium
- B. Psychotic break
- C. Possible stroke
- D. Anxiety disorder
Correct Answer: A
Rationale: Delirium is an organic mental disorder that is frequently brought on by a severe physical illness, such as fever.
The nurse is discussing the differences between a patient with a neurosis and one with a psychosis. What is true of the patient experiencing a neurosis?
- A. The patient experiences a flight from reality.
- B. The patient usually needs hospitalization.
- C. The patient has insight that there is an emotional problem.
- D. The patient has severe personality deterioration.
Correct Answer: C
Rationale: An individual with a neurosis has insight that he has an emotional problem. A person with psychosis is out of touch with reality and has severe personality deterioration. Treatment for neurosis is usually completed in the outpatient setting, while treatment for psychosis often requires hospitalization.
What is the prognosis for a schizophrenic patient who is exhibiting positive behaviors?
- A. Guarded
- B. Poor
- C. Good
- D. Repeatable
Correct Answer: C
Rationale: Prognosis for schizophrenic patients who are exhibiting positive behavior patterns is good.
When all five axes of the Diagnostic and Statistical Manual of Psychiatric Disorders, V, are used, it provides what type of assessment approach to comprehensive care?
- A. Personalized
- B. Individualized
- C. Holistic
- D. Organic
Correct Answer: C
Rationale: Using all five axes of the DSM-V provides a holistic assessment.
The nurse is assessing a female patient who has become rapidly and exceedingly anxious because her fingernail polish is chipped. What type of anxiety should the nurse conclude that the patient is exhibiting?
- A. Signal anxiety
- B. General anxiety
- C. Anxiety traits
- D. Panic disorder
Correct Answer: C
Rationale: An individual with anxiety traits has anxious reactions to relatively nonstressful events. Signal anxiety is a learned response to an event such as test taking. An individual with general anxiety worries over many things. A panic attack occurs suddenly and typically peaks within 10 minutes.