Nokea
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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What is important to consider when evaluating the dose of lithium to be administered?
- A. Narrow therapeutic index - too little will not produce effects
- B. while too much can cause toxicity
- C. Divalproex (Depakote)
- D. Tachycardia
Correct Answer: A
Rationale: The correct answer is A because lithium has a narrow therapeutic index, meaning the difference between a therapeutic dose and a toxic dose is small. Therefore, it is crucial to carefully consider the dose to avoid subtherapeutic effects or toxicity. Option B is incorrect because it only focuses on the toxicity aspect of lithium, ignoring the importance of therapeutic effects. Option C, Divalproex, is irrelevant to the dosing of lithium. Option D, Tachycardia, is also irrelevant to lithium dosing considerations. It is essential to prioritize the therapeutic index when evaluating the dose of lithium for safe and effective treatment.
he theorist who believes that children actively construct knowledge is
- A. Jean Piaget
- B. B.F. Skinner
- C. Albert Bandura
- D. John Dewey
Correct Answer: A
Rationale: Piaget's constructivism posits that children actively build knowledge through interaction with their environment.
Which nursing intervention best demonstrates an understanding of the effects of mental illness in the creation of secondary at-risk populations?
- A. Educating junior high school students concerning the dangers of drug and alcohol abuse
- B. Assessing the parenting skills of a father diagnosed with obsessive-compulsive disorder (OCD)
- C. Assessing the friends of a teenager who was recently hospitalized for an eating disorder for signs of the same disorder
- D. Providing the parents of a child diagnosed with obsessive-compulsive disorder (OCD) with information on behavior modification
Correct Answer: B
Rationale: Step-by-step rationale for why choice B is correct:
1. Mental illness can impact parenting skills.
2. Assessing parenting skills of a father with OCD is crucial to understand potential risks to the child.
3. OCD may affect parenting abilities, leading to neglect or inappropriate care.
4. By assessing parenting skills, nurses can identify and address risks to the child's well-being.
Summary of why other choices are incorrect:
A: Educating junior high students on drug abuse is important but does not directly address at-risk populations created by mental illness.
C: Assessing friends for signs of eating disorders is relevant but does not focus on understanding the impact of mental illness on caregiving roles.
D: Providing information on behavior modification to parents is helpful but does not directly assess the impact of mental illness on parenting skills.
You have loosely applied a bed sheet around your client's waist to prevent a fall from the chair. What have you done?
- A. Ensured the client's safety which is a high patient care priority
- B. Violated Respondeat Superior
- C. Violated the client's right to dignity
- D. Committed a crime
Correct Answer: A
Rationale: Using a bed sheet for safety does not constitute a violation or crime.
Which of the following questions is an effective way to elicit a Patient's explanatory model of illness regarding tuberculosis symptoms?
- A. What is your understanding of tuberculosis?
- B. How long have you had tuberculosis?
- C. Does your family have a history of tuberculosis?
- D. Have you ever been tested for tuberculosis?
Correct Answer: A
Rationale: This question invites patients to share their beliefs about the illness, key to understanding their perspective.