Author Question: The client asks the nurse why a tricyclic antidepressant has not been prescribed for depression. ... (Read 61 times)

crazycityslicker · **on:** Jul 24, 2018

The client asks the nurse why a tricyclic antidepressant has not been prescribed for depression. What is the best response by the nurse?

1. Tricyclic antidepressants have many side effects, including orthostatic hypotension, headache, and diarrhea.
2. Tricyclic antidepressants cause sexual dysfunction.
3. Tricyclic antidepressants are not recommended for a client with a history of heart attack.
4. Tricyclic antidepressants cause weight gain.

Question 2

A client is being treated for an anxiety disorder. Which types of medications are used to treat anxiety disorders? (Select all that apply.)

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

1. Barbiturates
2. Beta blockers
3. Benzodiazepines
4. Alpha blockers
5. SSRIs

jxjsniuniu · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

Correct Answer: 3

Rationale 1: Tricyclic antidepressants have many side effects including orthostatic hypotension, headache, and diarrhea is incorrect because this is a side effect of MAOIs.
Rationale 2: Tricyclic antidepressants cause sexual dysfunction is incorrect because this is a side effect of SSRIs.
Rationale 3: Tricyclic antidepressants are not recommended for a client with a history of heart attack.
Rationale 4: Tricyclic antidepressants are not recommended for a client with a history of heart attack.

Global Rationale: Tricyclic antidepressants are not recommended for a client with a history of heart attack. Tricyclic antidepressants have many side effects including orthostatic hypotension, headache and diarrhea is incorrect because this is a side effect of MAOIs. Tricyclic antidepressants cause sexual dysfunction is incorrect because this is a side effect of SSRIs. Tricyclic antidepressants are not recommended for a client with a history of heart attack.

Answer to Question 2

Correct Answer: 1, 2, 3, 5

Rationale 1: Barbiturates are used to treat anxiety.
Rationale 2: Beta blockers are used to treat anxiety.
Rationale 3: Benzodiazepines are used to treat anxiety.
Rationale 4: Alpha blockers are not used to treat anxiety. They are used to treat hypertension.
Rationale 5: SSRIs are used to treat anxiety.

Global Rationale: Barbiturates, beta blockers, benzodiazepines, and SSRIs are used to treat anxiety. Alpha blockers are not used to treat anxiety. They are used to treat hypertension.