Author Question: A client has been hospitalized for severe depression in the past, but has had difficulty finding ... (Read 83 times)

PhilipSeeMore

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A client has been hospitalized for severe depression in the past, but has had difficulty finding stabilization on medication. The client is found unconscious, but still breathing, with an empty bottle of sertraline (Zoloft) beside her.
 
  She is stabilized in an emergency department and is then admitted to a psychiatric unit. A nurse understands that a physician may order electroconvulsive therapy (ECT) for this client for what reason?
  A) Because the physician does not want to try further medication
  B) Because ECT has proven to be effective in acutely suicidal clients and in clients whose therapeutic regimen has been ineffective
  C) Because it is a less expensive treatment than prescribing further medication
  D) Because ECT should abolish the client's suicidal and depressive symptoms instantly

Question 2

Which one of the following cyclic antidepressants is classified as category B (no evidence of risk in humans during pregnancy)?
 
  a. maprotiline (Ludiomil)
  b. desipramine (Norpramin)
  c. nortriptyline (Tofranil)
  d. amitriptyline (Elavil)



Missbam101

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Answer to Question 1

B

Answer to Question 2

A
Maprotiline is classified as a category B antidepressant. Category B antidepressants show no evidence of risk to humans. All other cyclic antidepressants either show a positive evidence of risk toward humans (category D) or the evidence of risk cannot be ruled out (category C).



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