Author Question: A depressed patient prepares for discharge. The patient is prescribed desipramine (Norpramin) and ... (Read 48 times)

melina_rosy · **on:** Jul 19, 2018

A depressed patient prepares for discharge. The patient is prescribed desipramine (Norpramin) and will have outpatient visits. The patient reports, They gave me only a 1-week supply of my medicine. Select the nurse's best reply.

a. Federal law limits the amount you may be given at any one time.
b. It will save you money if the drug doesn't work well for your symptoms.
c. This is a way of ensuring that you will come in for your follow-up appointment.
d. Prescribing a small amount of drug addresses our concerns for your continuing safety.

Question 2

During orientation the clinical nurse leader tells a novice nurse, You will be involved in purposeful creation of corrective learning experiences for all patients so as to provide a healing atmosphere

The clinical nurse leader is explaining aspects of:
a. balance.
b. limit-setting.
c. a therapeutic environment.
d. establishing behavioral norms.

Li Jun · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

D
Desipramine is an activating antidepressant, and it might provide a patient who has suicidal ideation with the energy to make an attempt. Because the therapeutic dose and lethal dose are not widely separated, TCA overdose is an often-used suicide plan. Because desipramine appears to be the most toxic TCA, prescribing only a 7-day supply limits the possibility of using the drug in a suicide attempt. The other options are either less relevant or incorrect.

Answer to Question 2

C
A therapeutic environment requires creation of corrective learning experiences to promote a therapeutic atmosphere. Limit-setting, balance, and norms are individual elements of the therapeutic environment and are answers that are too narrow.