Author Question: A client being treated for major depression is the CEO of her own business. She has received 12 ... (Read 36 times)

Brittanyd9008 · **on:** Jul 19, 2018

A client being treated for major depression is the CEO of her own business. She has received 12
electroconvulsive therapy sessions and has remained in the hospital 4 days after the last treatment
while her SSRI dose was being adjusted.

The client has been counseled not to make a major business
decision for a month. The rationale for this counseling is that
a. SSRIs may cause confusion related to the limitation of tyramine in the diet.
b. SSRIs alter catecholamine levels, causing recurrent depressive symptoms.
c. the client may have temporary memory impairment associated with
electroconvulsive therapy.
d. the client needs time to reorient to a pressured work schedule.

Question 2

A health teaching plan for a client taking lithium should include instructions to

a. maintain normal salt and fluids in the diet.
b. drink twice the usual daily amount of fluid.
c. double the lithium dose if diarrhea or vomiting occurs.
d. avoid eating aged cheese, processed meats, and red wine.

jaygar71 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

C
Recent memory impairment is often present during and for a short time after electroconvulsive
therapy. An inappropriate business decision might be made because of forgotten important details.
Options A and B are untrue statements. Option D is less relevant than option C.

Answer to Question 2

A
Sodium depletion and dehydration increase the chance for development of lithium toxicity. The
other options offer inappropriate information.