Author Question: When the client states that he is no good, not worth bothering with, the caregiver's most ... (Read 18 times)

OSWALD · **on:** Jul 19, 2018

When the client states that he is no good, not worth bothering with, the caregiver's most therapeutic response is to

1. agree with him.
2. tell him not to be silly.
3. ask why he is saying this.
4. explore the meaning of his statements.

Question 2

A patient being treated with paroxetine (Paxil) 50 mg po daily for depression reports to the clinic nurse that he took a few extra tablets earlier in the day and feels bad now.

For what possible indicators of a negative reaction to the increased paroxetine ingestion should the nurse assess? Select all that apply. a. Hypotension
b. Suicidal ideation
c. Abdominal pain
d. Disorientation
e. Tachycardia
f. Hyperpyrexia

jennafosdick · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

4
Exploring offers client opportunity to discuss his emotions.

Answer to Question 2

C, D, E, F
The patient is taking the maximum dose of this SSRI and has ingested an additional unknown amount of the drug, increasing the risk of serotonin syndrome. Symptoms of serotonin syndrome include abdominal pain, diarrhea, tachycardia, elevated blood pressure, hyperpyrexia, increased motor activity, delirium, muscle spasms, seizure, and apnea. Serotonin syndrome may progress to a full medical emergency if not treated early. Hypotension is not a likely consequence of serotonin syndrome (although fluctuation in vital signs may occur). Although assessing for suicidal ideation is never inappropriate, serotonin hyperactivity does not typically increase suicide ideation or risk, and physiological symptoms should be the initial focus.