A nurse cares for patients taking various medications, including ...

[oliviahorn72]

A nurse cares for patients taking various medications, including buspirone (BuSpar), haloperidol (Haldol), carbamazepine (Tegretol), trazodone (Desyrel), and phenelzine (Nardil). The nurse will order a special diet for the patient who takes:
 
  a. buspirone.
  b. haloperidol.
  c. carbamazepine.
  d. trazodone.
  e. phenelzine.

Question 2

A nurse in the emergency room is responsible for responding to crises involving school children and has spent many days in local schools helping grieving students who have lost peers or teachers unexpectedly.
 
  She is also exposed daily to the victims of horrible accidents and other physical and emotional traumas. Which of the following would be most important for her to address in periodic clinical supervision? a. Vicarious traumatization
  b. Evidence-based interventions
  c. Research on crisis response
  d. Physiological response to crises

[dpost18]

Answer to Question 1

E
Patients taking phenelzine, an MAO inhibitor, must be on a low tyramine diet to prevent hypertensive crisis.

Answer to Question 2

A
Persons who work with survivors of trauma are indirectlyvicarious lyexposed to trauma themselves and can experience the same sort of responses as those who experience trauma directly, especially as their exposure to such second-hand trauma accumulates. This phenomenon is called vicarious traumatization, and a nurse working repeatedly with traumatized students would be at risk. An emergency room nurse also experiences trauma directly in the process of caring for those who have been injured by traumatic events. Critical incident stress debriefing (CISD) is helpful and indicated for crisis counselors and others at risk for vicarious traumatization, just as it is for emergency responders at risk for posttraumatic stress disorder. Although all of the topics listed would be appropriate for discussion during supervision, focusing on the prevention of vicarious traumatization would be most important because it is essential to preserving the nurse's physical and psychological well-being.