A client in a psychiatric unit talks excessively during group ...

[SAVANNAHHOOPER23]

A client in a psychiatric unit talks excessively during group sessions. A psychiatric nurse group leader notices that much of this client's expressions are kept on a superficial level. The nurse decides that the client might benefit from psychodrama.
 
  The nurse makes a referral after discussing psychodrama with the client. Which client statement regarding psychodrama requires further teaching by the nurse?
  A) It provides a safe setting in which to discuss painful issues.
  B) Peers will act out roles that represent individuals with whom I have unresolved conflicts.
  C) I choose who plays my role, and I observe the interaction from the audience.
  D) After the drama has been completed, a discussion will be held with members of the audience.

Question 2

A patient will be starting on fluoxetine hydrochloride (Prozac) therapy and taking 20 mg PO every morning. Which information should the nurse provide to the patient?
 
  a. Make sure that you take your pulse before getting out of bed in the morning..
  b. Try taking your medication with breakfast if you begin experiencing nausea..
  c. You may need to reduce your fluids at night because of nocturnal urination..
  d. Remember to avoid red wine, nuts, and any cheese except cottage and cream..

[tjayeee]

Answer to Question 1

C

Answer to Question 2

B
This question requires the application of knowledge about selective serotonin reuptake inhibitors (SSRIs) to a specific plan for medication education. To reduce nausea, the patient should be advised to take the medicine with meals. When teaching patients who are taking tricyclic antidepressants (TCAs), one must emphasize that patients should dangle their legs over the bed and change positions slowly to prevent postural hypotension. It is also advisable for patients to increase fluids, exercise, and roughage intake to prevent the anticholinergic effects of antidepressants. Foods that contain tyramine (e.g., Chianti, nuts, cheese) are prohibited when patients are taking monoamine oxidase inhibitors (MAOIs). The primary synaptic activity for SSRIs is to inhibit the reuptake of 5-HT. The possible clinical effects of 5-HT include the following: gastrointestinal (GI) disturbances and sexual dysfunction. Fluoxetine hydrochloride (Prozac), an SSRI that is usually administered in the morning to reduce the potential of a side-effect profile that is 2+ for insomnia/agitation, also demonstrates a 3+ for GI disturbances.

[SAVANNAHHOOPER23]

Thank you

[tjayeee]

No problemo