Author Question: Helen, a 47-year-old client with a long history of severe depression, has not responded to ... (Read 54 times)

bobbie · **on:** Jul 19, 2018

Helen, a 47-year-old client with a long history of severe depression, has not responded to antidepressant medications or psychotherapy.

The nurse caring for the patient knows that the treatment of choice for depression unresponsive to conventional treatment would be:
A.
Lithium.
B.
Electroconvulsive therapy (ECT).
C.
Light therapy.
D.
Neurolinguistic programming.

Question 2

Your depressed patient who is taking a tricyclic antidepressant is advised of possible anticholinergic side effects. Which of the following is NOT an anticholinergic side effect?

A.
Blurred vision
B.
Difficulty starting urine stream
C.
Dry mouth
D.
Muscle rigidity

eliasc0401 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: B
Though antidepressants are the treatment of choice for depression, electroconvulsive therapy is sometimes needed in cases of severe depression unresponsive to antidepressants. Lithium is generally not useful in depression. Light therapy and neurolinguistic programming may be adjuvants, not primary treatment in severe depression.

Answer to Question 2

ANS: D
Muscle rigidity is not an anticholinergic side effect.