Nokea
The nurse is employed in a pediatric mental health clinic. Which statement made by the client is an indication of a clinical effect of selective serotonin reuptake inhibitors (SSRI)?
- A. I have gained 25 lb in the last year.
- B. I feel that I am so sleepy all of the time.
- C. No one cares about me. I just want to die.
- D. I have a difficult time concentrating.
Correct Answer: C
Rationale: In the pediatric client, clinical evidence has stated an ominous link between SSRI use and an increased risk of suicidal thoughts and behavior. Some side effects of medication use include nausea, weight loss, insomnia, nervousness, tremor, and headache.
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The nurse is caring for an older adult client diagnosed with bipolar disorder. Which manifestation of the disease can the nurse anticipate?
- A. The disease remits as the client ages.
- B. The disease increases as the client ages.
- C. The depression increases as the client ages.
- D. The manic phase increases as the client ages.
Correct Answer: C
Rationale: Older adult clients with bipolar disorder typically experience depressive episodes that increase in frequency and last longer. The increase for functional decline occurs, which may necessitate further care.
Which type of therapy is facilitated by a bond that develops between the therapist and the client?
- A. Behavioral therapy
- B. Supportive psychotherapy
- C. Interpersonal psychotherapy
- D. Cognitive therapy
Correct Answer: C
Rationale: Interpersonal psychotherapy is facilitated by a bond that develops between the therapist and the client. Behavioral therapy endeavors to change unhealthy ways of behaving. Supportive psychotherapy helps clients learn about their disorder and treatment techniques, improve or develop new social skills, and gain encouragement to persevere. Cognitive therapy helps clients replace negative, and often illogical, ways of thinking with more positive outlooks.
The nurse is completing a medication history for a client diagnosed with bipolar disorder. When assessing the medications, which medication classification is noted as an adjunct to lithium therapy?
- A. Antidiabetics
- B. Antihypertensives
- C. Anticonvulsants
- D. Antianginals
Correct Answer: C
Rationale: Anticonvulsant therapy may be co-prescribed for a brief period to sedate the client and relieve bizarre thought processes faster than monotherapy with lithium. Anticonvulsants enhance the action of gamma-aminobutyric acid (GABA) in much the same way that benzodiazepines reduce anxiety and they are believed to inhibit glutamate.
Anticonvulsants enhance which neurotransmitter in clients diagnosed with bipolar disorder?
- A. Serotonin
- B. Dopamine
- C. GABA
- D. Acetylcholine
Correct Answer: C
Rationale: Anticonvulsants may achieve their therapeutic effects by enhancing the action of GABA in much the same way that benzodiazepines reduce anxiety. Anticonvulsants do not enhance serotonin, dopamine, or acetylcholine.
What is an example of sub-acute symptoms that may be observed in the older adult who may be depressed?
- A. Weight gain
- B. Lack of energy
- C. Memory loss
- D. Increased sleep
Correct Answer: B
Rationale: The examples of sub-acute symptoms that may be observed in the older adult who may be depressed are loss of appetite, trouble sleeping, lack of energy, and weight loss.