Author Question: Which principles characterize mental health care in Canada? (Select all that apply.) a. ... (Read 104 times)

cdr_15

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Which principles characterize mental health care in Canada? (Select all that apply.)
 
  a. Portability
  b. Universality
  c. Accessibility
  d. Comprehensiveness
  e. Private insurance models
  f. Public administration

Question 2

An older client is exhibiting symptoms of major depressive disorder. A physician is considering prescribing an antidepressant. Which physiological problem should make a nurse question this medication regime?
 
  1. Altered cortical and intellectual functioning
  2. Altered respiratory and gastrointestinal functioning
  3. Altered liver and kidney functioning
  4. Altered endocrine and immune system functioning



kmb352

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Answer to Question 1

A, B, C, D, F
Portability refers to retaining services in the event of moving; universality means that everyone in the nation of Canada is covered; accessibility indicates that everyone has access to health care; comprehensiveness means that all necessary treatment is covered; and public administration reveals that the health care system is publicly run and accountable. Private insurance models are the type of insurance provided in the United States.

Answer to Question 2

3
Rationale: The nurse should question the use of antidepressant medication in a client with altered liver and kidney function. Antidepressant medication should be administered with consideration for age-related physiological changes in absorption, distribution, elimination, and brain receptor sensitivity. Because of these changes, medications can reach high levels despite moderate oral dosage.



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In women, pharmacodynamic differences include increased sensitivity to (and increased effectiveness of) beta-blockers, opioids, selective serotonin reuptake inhibitors, and typical antipsychotics.

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Disorders that may affect pharmacodynamics include genetic mutations, malnutrition, thyrotoxicosis, myasthenia gravis, Parkinson's disease, and certain forms of insulin-resistant diabetes mellitus.

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Liver spots have nothing whatsoever to do with the liver. They are a type of freckles commonly seen in older adults who have been out in the sun without sufficient sunscreen.

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