Nokea
A patient with major depressive disorder is prescribed a selective serotonin reuptake inhibitor (SSRI). The nurse should educate the patient about which potential side effect?
- A. Hypertension
- B. Diarrhea
- C. Sexual dysfunction
- D. Weight gain
Correct Answer: C
Rationale: Corrected Rationale: Selective serotonin reuptake inhibitors (SSRIs) are commonly associated with sexual dysfunction as a side effect. This adverse effect includes decreased libido, delayed orgasm, and erectile dysfunction. Educating patients about this potential side effect is crucial to manage expectations and consider appropriate interventions. Choices A, B, and D are incorrect as SSRIs are not typically associated with hypertension, diarrhea, or weight gain as common side effects.
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In a patient with schizophrenia, which of the following symptoms would indicate a poor prognosis?
- A. Auditory hallucinations
- B. Paranoia
- C. Flat affect
- D. Delusions of grandeur
Correct Answer: C
Rationale: A flat affect, characterized by a lack of emotional expression, is often linked to a poorer prognosis in schizophrenia. It can hinder social interactions and affect the individual's ability to engage in therapy or express emotions, thereby impacting the overall treatment outcomes. Auditory hallucinations (Choice A) and delusions of grandeur (Choice D) are common symptoms in schizophrenia but may not always indicate a poor prognosis. Paranoia (Choice B) can also vary in its impact on prognosis depending on the individual and the severity of the symptom.
A healthcare provider is providing care for a patient with schizophrenia. Which symptom would be considered a positive symptom of this disorder?
- A. Alogia
- B. Anhedonia
- C. Delusions
- D. Flat affect
Correct Answer: C
Rationale: Delusions are considered a positive symptom of schizophrenia. Positive symptoms represent an excess or distortion of normal functions, such as hallucinations, delusions, or disorganized speech or behavior. In contrast, negative symptoms involve a decrease or absence of normal functions, like alogia (poverty of speech), anhedonia (inability to experience pleasure), and flat affect (reduced expression of emotions). Therefore, in the context of schizophrenia, delusions fall under the category of positive symptoms.
A patient diagnosed with bipolar disorder is experiencing a depressive episode. Which medication is commonly prescribed for this phase of the disorder?
- A. Valproic acid
- B. Risperidone
- C. Fluoxetine
- D. Lithium
Correct Answer: C
Rationale: The correct answer is C, Fluoxetine. Fluoxetine, a selective serotonin reuptake inhibitor (SSRI), is commonly prescribed to manage the depressive episodes in bipolar disorder. SSRIs are effective in treating the depressive phase of bipolar disorder as they help regulate serotonin levels in the brain, which can improve mood and reduce symptoms of depression. Choice A, Valproic acid, is used more commonly in the treatment of acute mania or mixed episodes in bipolar disorder. Choice B, Risperidone, is an atypical antipsychotic often used to manage psychotic symptoms in bipolar disorder. Choice D, Lithium, is primarily used for the maintenance treatment of bipolar disorder to prevent future manic and depressive episodes.
What is the most appropriate intervention for a patient experiencing a panic attack?
- A. Encourage deep, slow breathing.
- B. Encourage the patient to talk about their feelings.
- C. Leave the patient alone to calm down.
- D. Engage the patient in a physical activity.
Correct Answer: A
Rationale: Encouraging deep, slow breathing is the most appropriate intervention for a patient experiencing a panic attack. This technique can help the patient regulate their breathing, reduce hyperventilation, and promote relaxation, which are essential in managing the symptoms of a panic attack.
Choice B, encouraging the patient to talk about their feelings, may not be effective during an acute panic attack as the focus should be on calming the patient down. Choice C, leaving the patient alone, can lead to increased feelings of fear and isolation during a panic attack. Choice D, engaging the patient in physical activity, may exacerbate symptoms as it can increase the feeling of being out of control.
In treating a patient with generalized anxiety disorder (GAD) using cognitive-behavioral therapy (CBT), what is the most appropriate goal of this therapy?
- A. To explore the patient's childhood experiences.
- B. To reduce the patient's symptoms through medication.
- C. To change the patient's negative thought patterns.
- D. To improve the patient's social skills.
Correct Answer: C
Rationale: The most appropriate goal of cognitive-behavioral therapy (CBT) in treating generalized anxiety disorder (GAD) is to change the patient's negative thought patterns. This therapy focuses on identifying and modifying distorted thinking patterns that contribute to anxiety. Exploring childhood experiences (Choice A) may be part of therapy, but the primary focus is on present thoughts and behaviors. While medication (Choice B) can help manage symptoms, CBT aims to address the root cause through cognitive restructuring. Improving social skills (Choice D) is not the primary goal of CBT for GAD, although it may be a secondary benefit as confidence improves with reduced anxiety.