What type of antidepressant medication is not frequently used due to its lethality in overdose?
- A. Tricyclic antidepressants (TCAs)
- B. Selective serotonin reuptake inhibitors (SSRIs)
- C. GI upset
- D. Divalproex (Depakote)
Correct Answer: A
Rationale: The correct answer is A: Tricyclic antidepressants (TCAs). TCAs are not frequently used due to their high lethality in overdose. They have a narrow therapeutic index, leading to severe toxicity even at slightly higher doses. In overdose, TCAs can cause life-threatening cardiovascular and central nervous system effects. SSRIs (B) are safer in overdose compared to TCAs. GI upset (C) is a common side effect of many medications, not specifically antidepressants. Divalproex (D) is not an antidepressant medication, but rather a mood stabilizer primarily used in bipolar disorder.
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To support Level 1 families, a practitioner should first...
- A. Identify any mental health issues
- B. Mobilize support for the ineffective executive or parental system
- C. Develop a coalition of those in charge vs those needing control
- D. Case manage to meet basic needs for food, health, shelter, protection
Correct Answer: D
Rationale: Level 1 families often face immediate survival needs, so addressing basic requirements like food, shelter, and safety is the foundational step before other interventions can be effective.
In the Mental Health Gap Action Programme Intervention Guide, which of the following aspects is described in detail in the Guide?
- A. What to do.
- B. How to do.
- C. Why it is done.
- D. Pitfalls to avoid.
Correct Answer: A
Rationale: The mhGAP-IG provides detailed guidance on 'what to do' for managing priority conditions in primary care.
The nurse demonstrates an appropriate use of outcome measurements on a mental health unit when:
- A. Requiring a client's caregiver to attend a discharge planning meeting prior to the client's release to home.
- B. Reassigning a client's activity level based on his demonstration of disregard of appropriate social boundaries.
- C. Providing the client with clean linen according to the schedule established by the facility.
- D. Permitting the son of an Asian-American client to bring some ethnic foods to his father.
Correct Answer: B
Rationale: The correct answer is B because reassigning a client's activity level based on his demonstration of disregard of appropriate social boundaries demonstrates using outcome measurements effectively in mental health care. This shows that the nurse is monitoring the client's behavior and adjusting the care plan accordingly to promote positive outcomes.
A is incorrect because requiring a caregiver to attend a discharge planning meeting does not directly relate to outcome measurements for the client's mental health progress.
C is incorrect because providing clean linen according to a schedule does not demonstrate the use of outcome measurements for mental health assessment and intervention.
D is incorrect because permitting the son to bring ethnic foods does not directly relate to monitoring and adjusting the client's care plan based on observed behaviors.
How many things in common nearly all good days:
- A. Two
- B. Three
- C. Four
- D. Five
Correct Answer: B
Rationale: Lyubomirsky suggests 3 common elements (e.g., positivity, connection, achievement) for good days.
he theorist who believes that human have unconscious motives is
- A. Sigmund Freud
- B. Carl Rogers
- C. Abraham Maslow
- D. Erik Erikson
Correct Answer: A
Rationale: Sigmund Freud's psychoanalysis centers on unconscious motives driving behavior.