Author Question: Which impairment usually has the MOST profound effect on social and vocational participation? a. ... (Read 39 times)

DelorasTo · **on:** Jul 19, 2018

Which impairment usually has the MOST profound effect on social and vocational participation?

a. limited exercise
b. loss of vision
c. phantom pain
d. loss of olfactory sense

Question 2

A patient with severe depression and suicidal ideation has not improved after trials with selective serotonin reuptake inhibitors (SSRIs) and tricyclic antidepressants.

Which treatment option can a nurse expect the health care provider will now consider? a. Light therapy
b. Benzodiazepines
c. Electroconvulsive therapy
d. Antipsychotic medication

mmj22343 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

B
Of the four options, loss of vision can have the most profound effect on social and vocational participation. From a vocational perspective, in most occupations vision is a necessity to perform the required tasks. While many of those occupations can be adapted to allow a person who is visually impaired to perform them, this could not be done without a significant amount of retraining on the part of the employee and accommodation on the part of the employer.

Answer to Question 2

C
Electroconvulsive therapy remains a viable treatment for patients with depression who do not respond to antidepressants. Light therapy is more useful for seasonal affective disorder than for severe depression. Antipsychotics and benzodiazepines are not therapies of choice for depression.