A client diagnosed with major depressive episode and substance ...

[cherise1989]

A client diagnosed with major depressive episode and substance use disorder has an altered sleep pattern and demands that a psychiatrist prescribe a sedative.
 
  Which rationale explains why a nurse should encourage the client to first try nonpharmacological interventions? 1. Sedative-hypnotics are potentially addictive, and their effectiveness will be compromised owing to tolerance.
  2. Sedative-hypnotics are expensive and have numerous side effects.
  3. Sedative-hypnotics interfere with necessary REM (rapid eye movement) sleep.
  4. Sedative-hypnotics are known not to be as effective in promoting sleep as antidepressant medications.

Question 2

The client who is taking a low-potency antipsychotic medication should be informed by the nurse that the most common side effects are: (Select all that apply.)
 
  a. Dystonia
  b. Akathisia
  c. Dry mouth
  d. Bradykinesia
  e. Blurred vision
  f. Urinary retention

[parshano]

Answer to Question 1

1
Rationale: The nurse should recommend nonpharmacological interventions to this client because sedative-hypnotics are potentially addictive, and their effectiveness will be compromised owing to tolerance. The effects of central nervous system depressants are additive with one another, capable of producing physiological and psychological addiction.

Answer to Question 2

C, E, F
Anticholinergic side effects are most common with low-potency antipsychotic medications. The other options are extrapyramidal side effects that are seen most typically with higher-potency and long-term use of antipsychotic medications. However, all clients on antipsychotic medications should be monitored for both categories of side effects.