Author Question: A patient with type 1 diabetes mellitus is maintained on insulin. The patient has decided to ... (Read 32 times)

viki · **on:** Jul 23, 2018

A patient with type 1 diabetes mellitus is maintained on insulin. The patient has decided to participate in a sports tournament at work. Which information would the nurse provide regarding diet and insulin?

1. Do not take your insulin the morning of a game.
2. Plan on eating a big meal after your game.
3. Take an oral hypoglycemic agent on game days rather than insulin.
4. Eat something before the game and drink a sports drink during the game.

Question 2

Which are treatment interventions used in severe depression?(Select all that apply.)

1. Cognitive-behavioral therapies
2. Electroconvulsive therapies
3. Long-term hospitalization
4. Transcranial magnetic stimulation
5. Medications

irishcancer18 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

4
Rationale 1: The patient should not skip insulin.
Rationale 2: Glucose demands will be during the game.
Rationale 3: Oral hypoglycemics are not used to treat patients with type 1 diabetes mellitus.
Rationale 4: The best plan is for the patient to eat something just before exercise and then to consume a sports drink during the game.

Global Rationale: The best plan is for the patient to eat something just before exercise and then to consume a sports drink during the game. The patient should not skip insulin. Glucose demands will be during the game. Oral hypoglycemics are not used to treat patients with type 1 diabetes mellitus.

Answer to Question 2

1, 2, 4, 5

Rationale 1:Cognitive-behavioral therapies help to change the patient's negative styles of thought and behavior that are associated with depression.
Rationale 2: Electroconvulsive therapies (ECT)have been used with serious and life-threatening mood disorders unresponsive to pharmacotherapy.
Rationale 3:Long-term hospitalization is not used in severe depression.
Rationale 4:Studies suggest that repetitive transcranial magnetic stimulation (rTMS) may improve mood in major depressive disorders.
Rationale 5:Pharmacotherapy is also used in treatment of severe depression.

Global Rationale: Many therapies are used in severe depression.Two short-term psychotherapies that are helpful for some forms of depression are interpersonaland cognitive-behavioral therapies. Interpersonal therapy focuses on the patient's disturbedpersonal relationships that both cause and worsen the depression. Cognitive-behavioraltherapy helps the patient change the negative styles of thought and behavior that are oftenassociated with depression. Psychodynamic therapies, often postponed until the depressivesymptoms are significantly improved, focus on resolving the patient's internal conflicts.In patients with serious and life-threatening mood disorders that are unresponsive to pharmacotherapy, electroconvulsive therapy (ECT) has been the traditional treatment. Pharmacotherapy is also used in treatment of severe depression.