An adult outpatient diagnosed with major depression has a history ...

[nummyann]

An adult outpatient diagnosed with major depression has a history of several suicide attempts by overdose. Given this patient's history and diagnosis, which antidepressant medication would the nurse expect to be prescribed?
 
  a. Amitriptyline (Elavil), a sedating tricyclic medication
  b. Fluoxetine (Prozac), a selective serotonin reuptake inhibitor
  c. Desipramine (Norpramin), a stimulating tricyclic medication
  d. Tranylcypromine sulfate (Parnate), a monoamine oxidase inhibitor

Question 2

A nurse plans care for an individual diagnosed with antisocial personality disorder. Which characteristic behaviors will the nurse expect? Select all that apply.
 
  a. Reclusive behavior
  b. Callous attitude
  c. Perfectionism
  d. Aggression
  e. Clinginess
  f. Anxiety

[Tabitha_2016]

Answer to Question 1

ANS: B
Selective serotonin reuptake inhibitor antidepressants are very safe in overdosage situations, which is not true of the other medications listed. Given this patient's history of overdosing, it is important that the medication be as safe as possible in case she takes an overdose of her prescribed medication.

Answer to Question 2

ANS: B, D
Individuals with antisocial personality disorders characteristically demonstrate manipulative, exploitative, aggressive, callous, and guilt-instilling behaviors. Individuals with antisocial personality disorders are more extroverted than reclusive, rarely show anxiety, and rarely demonstrate clinging or dependent behaviors. Individuals with antisocial personality disorders are more likely to be impulsive than to be perfectionists.