Which of the eight recommended components of a comprehensive ...

[nramada]

Which of the eight recommended components of a comprehensive school health program should include the physical, emotional, and social conditions that affect the well-being of students and staff?
 
  A) Family/community involvement
  B) Healthy and safe school environment
  C) Counseling and psychology services
  D) Health promotion for staff

Question 2

The nurse works with a client who was just diagnosed with major depression. Which would the nurse most suspect will be prescribed as the first line of treatment for this client?
 
  A) Tricyclic antidepressant (TCA)
  B) Electroconvulsive therapy (ECT)
  C) Stimulant
  D) Selective serotonin reuptake inhibitor (SSRI)

[carlsona147]

Answer to Question 1

Ans: B
Feedback:
A healthy and safe school environment should include the physical, emotional, and social conditions that affect the well-being of students and staff. Family/community involvement should include school health advisory councils, coalitions, and broadly based constituencies for school health. Counseling and psychology services should include individual and group assessments, interventions, and referrals. Health promotion for staff should encourage staff to pursue a lifestyle that contributes to their improved health status and morale and to develop a greater personal commitment to the school's overall coordinated health program.

Answer to Question 2

Ans: D
Feedback:
In general, the SSRIs are the first line of treatment for major depression because they are well tolerated and easy to administer in once-a-day dosing. An older class of antidepressants, TCAs, is a second-line treatment because these antidepressants have strong anticholinergic side effects and dosing has to be gradually titrated before a client reaches a therapeutic level. Both the SSRIs and the TCAs can take 4 to 6 weeks before reaching therapeutic blood levelsa serious concern when working with acutely suicidal clients. For that reason, electroconvulsive therapy (ECT) may be used for clients who are acutely suicidal or exhibiting profound neurovegetative signs of depression. Stimulants are prescribed for those with attention-deficit/hyperactivity disorder.