A client's husband is a chemist. He asks the nurse the action by ...

[Engineer]

A client's husband is a chemist. He asks the nurse the action by which SSRIs lift depression. The
  nurse should explain that SSRIs
 
  a. make more serotonin available at the synaptic gap.
  b. destroy increased amounts of neurotransmitter.
  c. increase production of acetylcholine and dopamine.
  d. block muscarinic and a1 norepinephrine receptors.

Question 2

The family of a client with schizophrenia who has been stable for a year reports to the community
  mental health nurse that the client reports feeling tense and having difficulty concentrating.
 
  He
  sleeps only 3 to 4 hours nightly and has begun to talk about volmers hiding in the warehouse
  where he works and undoing his work each night. The nurse can correctly assess this information as
  an indication of
  a. medication noncompliance.
  b. the need for psychoeducation.
  c. chronic deterioration.
  d. relapse.

[dajones82]

Answer to Question 1

ANS: A
Depression is thought to be related to lowered availability of the neurotransmitter serotonin. SSRIs
act by blocking reuptake of serotonin, leave a higher concentration available at the synaptic cleft.
Option B: SSRIs actually prevent destruction of serotonin. Option C: SSRIs have no effect on
acetylcholine and dopamine production. Option D: SSRIs do not produce muscarinic or a1
norepinephrine blockade.

Answer to Question 2

D
Signs of potential relapse include feeling tense, difficulty concentrating, trouble sleeping, increased
withdrawal, and increased bizarre or magical thinking. Option A: Medication noncompliance may
not be implicated. Relapse can occur even when the client is taking medication regularly. Option B:
Psychoeducation is better delivered when the client's symptoms are stable. Option C: Chronic
deterioration is not the most viable explanation.

[Engineer]

Excellent

[gcook]

Thanks for the timely response, appreciate it