A nurse is caring for a client who displays symptoms associated ...

[jc611]

A nurse is caring for a client who displays symptoms associated with seasonal affective disorder (SAD). Which prescription would the nurse question as inappropriate for this client?
 
  A) Cognitive-behavioral therapy
  B) Light therapy
  C) Bupropion extended-release
  D) Selective serotonin reuptake inhibitor (SSRI)

Question 2

The nurse is caring for a child who is terminally ill with cancer. Which outcomes would be appropriate for this client's care? Select all that apply.
 
  A) The child will eat three balanced meals each day.
  B) The child will not experience anticipatory grief.
  C) The child will engage in age-appropriate play as often as possible.
  D) The airway will be free of secretions.
  E) The child will not experience pain.

[TINA]

Answer to Question 1

Answer: D

The nurse would question the order for a selective serotonin reuptake inhibitor (SSRI). This medication is used in the treatment of major depressive disorder (MDD) and dysthymic disorder, not seasonal affective disorder (SAD). All the other orders are appropriate for a client with SAD.

Answer to Question 2

Answer: C, D, E

Priority outcomes for the child who is dying are pain control and airway patency. The nurse would want to encourage the child in age-appropriate play depending on the condition of the child. It is not reasonable to expect the dying child to eat all meals, nor is it appropriate that the child not experience anticipatory grieving.