Author Question: The nurse knows that the primary health care professional will order which medication to help with ... (Read 42 times)

fasfsadfdsfa · **on:** Jul 19, 2018

The nurse knows that the primary health care professional will order which medication to help with disordered thinking for the patient with anorexia nervosa?

1. Amitriptyline (Elavil)
2. Olanzapine (Zyprexa)
3. Bupropion (Wellbutrin)
4. Tranylcypromine (Parnate)

Question 2

The nurse caring for a patient with bulimia nervosa knows that which intervention is considered the first-line treatment?

1. Art therapy
2. SSRI therapy
3. Dialectical behavior therapy
4. Cognitive-behavioral therapy

gcook · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

Answer: 2
Explanation: Research shows that second-generation antipsychotic medications such as olanzapine may be effective in achieving more rapid weight gain, reducing obsessional thinking, and limiting the denial that assumes delusional proportions in size and body shape. Bupropion should be avoided due to risk of seizures; tricyclic antidepressants (such as amitriptyline) and MAOIs (such as tranylcypromine) should not be considered in underweight patients and have an overall potential for lethality and toxicity.

Answer to Question 2

Answer: 4
Explanation: Cognitive-behavioral therapy is considered the first-line treatment in bulimia nervosa. It is often used in conjunction with dialectical behavior therapy to help further reduce both behavioral and psychological symptoms associated with eating disorders. SSRI therapy has proven effective in reducing binging and purging behaviors and eating-disordered attitudes, but it is not a first-line treatment. Art therapy is not a first-line treatment for individuals with disordered eating behaviors.