Author Question: The client tells the nurse My doctor prescribed Prozac fluoxetine. I suppose I'll have to get used ... (Read 118 times)

ericka1 · **on:** Jul 19, 2018

The client tells the nurse My doctor prescribed Prozac fluoxetine. I suppose I'll have to get used
to the side effects like the ones I experienced when I was taking Tofranil imipramine..

The nurse's
reply should be based on the knowledge that fluoxetine is a(n)
a. tricyclic antidepressant.
b. MAO inhibitor.
c. SSRI.
d. selective norepinephrine reuptake inhibitor.

Question 2

A severely depressed client with psychomotor retardation has begun activities therapy. His schedule
is: 9 AM, ceramics; 10 AM, exercise group; 11 AM to noon, open; noon, lunch.

The nurse creating the
client's schedule should opt to fill the hour block from 11 AM to noon with
a. group therapy.
b. a rest period.
c. reminiscence group.
d. individual counseling.

enass · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: C
Fluoxetine is an SSRI and will not produce the same side effects as imipramine, a tricyclic
antidepressant. The client will probably not experience dry mouth, constipation, or orthostatic
hypotension.

Answer to Question 2

B
Severely depressed clients have anergia (little mental or physical energy) and are readily fatigued.
Psychomotor retardation also takes its toll. After 2 hours of activity the client may be simply too
tired to gain anything from a therapy group. The client should be allowed to rest and have therapy
scheduled later in the day.