A young adult man is despondent that he has been unable to lose ...

[Lisaclaire]

A young adult man is despondent that he has been unable to lose weight and keep it off. Now that his weight has crested 350 pounds, he has sought advice from the nurse.
 
  He states that obesity runs in his family but that his mother had great success in losing weight with the use of amphetamines in the late 1970s. The nurse should explain to the man that this is not a treatment option because A) amphetamines have been shown to be largely ineffective in clinical studies.
  B) amphetamines have been superseded by more modern lipase inhibitors.
  C) amphetamines carry a high risk of dependence and abuse.
  D) amphetamines are prohibitively expense and are not covered by most health insurers.

Question 2

A patient has been achieving an acceptable reduction in his positive and negative signs of schizophrenia after several weeks of treatment with clozapine.
 
  The patient has asked the nurse if it is acceptable for him to have a few drinks from time to time. How should the nurse best respond to the patient's inquiry? A) If you notice that your symptoms are worsening when you drink, you should stop doing it.
  B) That shouldn't present a problem, provided you make sure that you're safe when you do it.
  C) That's okay in most cases, but it's advisable to limit it to beer and wine and to avoid spirits.
  D) When you're taking clozapine, it's best to avoid drinking alcohol altogether.

[kxciann]

Answer to Question 1

C
Feedback:
Experts do not recommend using amphetamines because they are controlled substances (Schedule II) with a high potential for abuse and dependence. Amphetamines do not inhibit lipase.

Answer to Question 2

D
Feedback:
Alcohol increases central nervous system depression in patients taking clozapine; patients should ideally abstain from drinking alcohol.

[Lisaclaire]

Excellent

[parshano]

TYSM