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When discharging a patient with schizophrenia on risperidone, what is an important point to include in the discharge teaching?
- A. Avoiding foods high in tyramine is essential.
- B. Getting blood levels checked regularly is necessary.
- C. Being cautious when driving due to possible drowsiness is crucial.
- D. Taking this medication on an as-needed basis is recommended.
Correct Answer: B
Rationale: The correct answer is B: Getting blood levels checked regularly is necessary. This is important because risperidone is a medication that requires monitoring of blood levels to ensure it is within the therapeutic range for effectiveness and to prevent side effects. Regular monitoring helps to adjust the dosage if needed.
Choice A is incorrect because foods high in tyramine are a concern when taking MAOIs, not risperidone. Choice C is incorrect because drowsiness is a common side effect initially, but it may improve over time and caution while driving should be based on individual response. Choice D is incorrect because risperidone is not meant to be taken on an as-needed basis; it should be taken consistently to maintain stability in treating schizophrenia.
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A patient is receiving education about dietary restrictions while taking a monoamine oxidase inhibitor (MAOI). Which food should the patient avoid?
- A. Aged cheese
- B. Fresh vegetables
- C. Grilled chicken
- D. Fruit juices
Correct Answer: A
Rationale: The correct answer is A: Aged cheese. MAOIs interact with tyramine in certain foods like aged cheese, leading to dangerous hypertensive crisis. Aged cheese contains high levels of tyramine, which can cause a sudden increase in blood pressure when combined with MAOIs. Fresh vegetables (B), grilled chicken (C), and fruit juices (D) do not have high levels of tyramine and can be safely consumed with MAOIs. It is crucial for patients taking MAOIs to avoid foods rich in tyramine to prevent adverse reactions.
A patient with obsessive-compulsive disorder (OCD) is prescribed fluvoxamine. What is a common side effect of this medication?
- A. Increased appetite
- B. Dry mouth
- C. Weight gain
- D. Nausea
Correct Answer: D
Rationale: The correct answer is D: Nausea. Fluvoxamine is a selective serotonin reuptake inhibitor (SSRI) commonly used to treat OCD. Nausea is a common side effect of SSRI medications due to their impact on serotonin levels in the gastrointestinal tract. This can lead to stomach upset and feelings of nausea. Increased appetite (A) and weight gain (C) are more commonly associated with other types of medications, such as antipsychotics or mood stabilizers. Dry mouth (B) is a side effect seen with some antidepressants, but it is not a common side effect of fluvoxamine.
Which of the following is an example of a cognitive-behavioral therapy (CBT) technique?
- A. Free association
- B. Thought stopping
- C. Dream analysis
- D. Systematic desensitization
Correct Answer: B
Rationale: The correct answer is B: Thought stopping. In CBT, thought stopping is a technique used to interrupt and replace negative or intrusive thoughts. Here's why it's correct: 1. It helps clients identify and challenge negative thought patterns. 2. It teaches clients to stop negative thoughts in their tracks. 3. It encourages the use of positive affirmations or coping statements. Other choices are incorrect: A: Free association is a psychoanalytic technique, not a CBT technique. C: Dream analysis is also associated with psychoanalytic therapy. D: Systematic desensitization is a behavioral therapy technique used in exposure therapy, not CBT.
In cognitive processing therapy for PTSD, what is the primary goal for the patient?
- A. To help the patient process the trauma and reduce avoidance behaviors.
- B. To help the patient confront and process the trauma in a safe environment.
- C. To help the patient understand the impact of the trauma on their current thoughts and behaviors.
- D. To help the patient avoid triggers that remind them of the trauma.
Correct Answer: C
Rationale: The correct answer is C because the primary goal of cognitive processing therapy in PTSD is to help the patient understand the impact of trauma on their current thoughts and behaviors. This involves identifying and challenging maladaptive beliefs and cognitive distortions related to the trauma. By gaining insight into how the trauma has influenced their thoughts and behaviors, the patient can work towards changing these patterns and improving their psychological well-being.
Choice A is incorrect because while processing the trauma and reducing avoidance behaviors are important aspects of therapy, they are not the primary goal in cognitive processing therapy. Choice B is incorrect as it focuses solely on confronting and processing the trauma, missing the crucial component of understanding its impact on thoughts and behaviors. Choice D is incorrect because avoidance of triggers is not the primary goal; rather, it is about addressing and modifying the cognitive responses to those triggers.
What is the priority nursing intervention for a patient experiencing a panic attack?
- A. Encouraging the patient to focus on deep breathing exercises.
- B. Encouraging the patient to avoid any physical activity.
- C. Asking the patient to describe their feelings in detail.
- D. Providing the patient with detailed information about panic attacks.
Correct Answer: A
Rationale: The correct answer is A because focusing on deep breathing exercises helps the patient regulate their breathing and reduce hyperventilation during a panic attack. This intervention promotes relaxation and helps calm the patient down. Encouraging avoidance of physical activity (B) is incorrect as it does not address the immediate physiological symptoms of a panic attack. Asking the patient to describe their feelings (C) may be helpful for assessment but does not directly address the urgent need to manage the panic attack. Providing detailed information about panic attacks (D) is important for education but is not the priority during an active panic attack.