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Question
The client asks the nurse how the SSRI antidepressant that the client is prescribed works. What nursing response is correct?1. SSRIs work on depression by sedating the centers of the brain responsible for worrying.
2. SSRIs allow more of a chemical neurotransmitter, serotonin, to be available to areas of the brain.
3. SSRIs are stimulants that enhance the activity of the brain and pleasure centers.
4. SSRIs decrease the amount of norepinephrine available in the lower cortical areas.
Answer
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Related questions
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A client is standing in the hallway on the phone arguing with the caller. As the client becomes increasing loud and argumentative, an appropriate action for the nurse to take would be to:1. Move the other clients away from the area providing the client privacy to continue the conversation.2. Stand next to the client and say in a calm, firm voice, "If you cannot lower your voice, you will lose your phone privileges indefinitely."3. Walk up to the client and softly say, "This conversation appears to be getting you upset, tell this person that you will talk later and come sit with me to discuss what is bothering you."4. Do nothing. The client does not pose any danger as the person the client is angry with is not physically present.
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A client who is a construction supervisor has a history of becoming violent when the client's workers do not complete their work within the established deadline. Police have been called to the worksite multiple times for behaviors including loud shouting and destruction of property. The most appropriate expected outcome related to resolving this problem would be for the client to:1. Identify personal needs.2. Refrain from impulsive behavior.3. Refrain from self-injury and from injuring others.4. Identify alternative methods for expressing anger.
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Which statement by a client would suggest that the ABCs of crisis counseling have been met?1. "I am really glad we did this counseling."2. "I will call you if I need you."3. "I now know some better ways of coping."4. "I will miss working with you."
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Which of the following statements made by the nurse displays a positive attitude about client autonomy and self-determination?1. "I comfortable with clients deciding what the programs, schedule, activities, or rules will be."2. "Clients should not be permitted to decide their own treatment goals."3. "Clients should not be permitted to comment on each other's behaviors or treatment goals while in group."4. "I am sad when a client does not choose my plan of care."
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A client with chronic paranoid schizophrenia was recently referred to a psychosocial rehabilitation "clubhouse" program following discharge from the inpatient psychiatric unit. Which of the following client goals is most appropriate for this situation?1. The client will attend recreational and educational group activities on a daily basis.2. The client will obtain food, clothing, and transportation services.3. The client will obtain a sponsor and attend weekly AA meetings.4. The client will identify career goals and develop a resume of job experiences.
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Q:
The nurse instructs the clients to take the medications that are prescribed because the psychiatrist knows what is best for the client. How would the nurse's supervisor evaluate the effectiveness of the nurse's teaching?1. The nurse is demonstrating a paternalistic attitude that may contribute to client nonadherence.2. Teaching the client to take all medications should help keep the client out of the hospital.3. The nurse is helping the client develop trust in the psychiatrist.4. The nurse is giving simple instructions that will be readily accepted by the client.
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The client received aripiprazole (Abilify) on admission to the inpatient unit with a diagnosis of schizophrenia, paranoid type. Which of the following would the nurse note as a sign that the aripiprazole is becoming effective?1. The client paces in the hall and engages in solitary activities most of the day.2. The client sleeps for shorter periods of time during the day.3. The client establishes eye contact and remains in conversation with the nurse for longer periods.4. The client eats only the food that is in its original container such as individual packages of crackers.
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A nurse skillful in the writing process knows that this talent may benefit the client because a well-written behavioral contract:1. Teaches the client about past mistakes to lead to a successful outcome.2. Provides everything needed for a cure.3. Teaches the client to embrace the future helps overcome past misdeeds.4. Can promote successful outcomes.
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The nurse student taking care of a client with schizophrenia has difficulty keeping up with the client's music therapy and individual therapy times. The nurse knows, however, that the case manager is helpful in maintaining the routines and schedules of:1. Self-study.2. All clients on the unit.3. Cognitive behavioral interventions..4. Clients in music therapy.
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The nurse knows that a client who has panic attacks when she sees waterfalls because she had been physically assaulted in a park with a waterfall, would benefit from the feature of cognitive and behavioral treatment of:1. Suggesting alternative behavior.2. Seeking social support.3. Reframing.4. Expressing affection.
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A client admitted with borderline personality disorder complains during group therapy that she, "always falls for the bad guy." She has been in and out of rehabilitation and abuse crisis centers. The nursing student knows this client would benefit from:1. Intrapsychic cognitive therapy.2. Family conflict therapy.3. Dialectical behavioral therapy.4. Self-reflective therapy.
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The nurse therapist skilled in rational emotive therapy (RET) helps clients identify:1. Cognitive causes for rational beliefs.2. Health-damaging beliefs and practices.3. Rational thoughts and healthy emotions.4. Irrational thoughts and develop more rational life philosophies.
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A nursing student receiving D's on quizzes decides to begin studying with a group of students known to make A's. The nursing instructor knows that the student is exhibiting what type of behavior?1. Modeling2. Attributing3. Self-efficacy4. Assuming
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The nurse is assessing a client with nicotine addiction. The nurse knows the client plans to compete in a marathon several months away and asks the client to imagine snapping a cigarette in half and winning the marathon whenever the urge to smoke occurs. The nurse knows that shaping one's thoughts so that they have control over a particular situation, thereby creating a successful behavior change, is called:1. Communication.2. Mastery imagery.3. Image restructuring.4. Positive imagery.
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The mother of a young child diagnosed with conduct disorder asks the nurse to recommend a qualified nurse to provide family therapy. The nurse knows that:1. Nurse family therapists should be clinical specialists or advanced practitioners in mental health nursing.2. Nurses with a bachelor's degree are qualified to provide family therapy if they are nationally certified in mental health nursing.3. Nurses are not reimbursed by third party insurers to provide family therapy.4. Nurses specializing in family therapy are expensive and it is difficult to get a timely appointment.