An overweight client with a strong family history of obesity ...

[Mimi]

An overweight client with a strong family history of obesity desires to be pharmacologically treated for depression. The antidepressant least known for causing weight gain is:
 
  a. fluoxetine
  b. nefazodone
  c. bupropion
  d. mirtazapine

Question 2

A nurse who facilitates a group for parents of children diagnosed with schizophrenia joins a peer support group for advanced practice psychiatric nurses. Which comment indicates that the nurse is using this group appropriately?
 
  a. I love my work, but if you measure your success by the money you earn, nursing is not the profession for you..
  b. Are any of you married or have young children? Working as a nurse is certainly challenging if you have children at home..
  c. I am feeling so ineffective since a member's child was found dead after having spent the night sleeping outside in the cold..
  d. Do any of you have a family member or friend who has been diagnosed with schizophrenia? We can talk about your concerns after the meeting..

[xiazhe]

Answer to Question 1

C
Bupropion (trade names Wellbutrin and Zyban) is not known for causing weight gain. It also has no sexual side effects, unlike other antidepressants. However, a major adverse effect is that bupropion can lower a person's seizure threshold.

Answer to Question 2

C
Peer support groups provide an avenue for professional nurses who facilitate stressful groups to share their problems and the stresses related to their work. Appropriate topics include case consultation, sharing of information about educational opportunities, discussion of management skills, general sharing of information, and discussion of strategies to reduce professional isolation. Less appropriate topics for such a group are personal comments that are more social in nature and probing comments that relate to personal rather than professional concerns.

[Mimi]

Thanks for the timely response, appreciate it

[ricroger]

Excellent