A depressed client is receiving imipramine (Tofranil) 300 mg ...

[krzymel]

A depressed client is receiving imipramine (Tofranil) 300 mg daily. The side effect of this drug for
  which the nurse should seek medical attention for the client is
 
  a. dry mouth.
  b. blurred vision.
  c. nasal congestion.
  d. urinary retention.

Question 2

Desired outcomes of a nurse assuming the role of participant observer during an interaction with a
  client would include (more than one answer may be correct)
 
  A. client anxiety level decreases
  B. nurse self-awareness is enhanced
  C. the nurse views the client as a unique individual
  D. the focus of the interaction remains client centered

[SAUXC]

Answer to Question 1

D
All the side effects mentioned are the result of the anticholinergic effects of the drug. Only urinary
retention and severe constipation warrant immediate medical attention. Bethanechol may be given to
promote urination, or urinary catheterization may be necessary. Dry mouth, blurred vision, and nasal
congestion may be less troublesome as therapy continues.

Answer to Question 2

ANS: B, C, D
Rationale: Option B is a desirable outcome. Being a participant observer involves participating in an
interaction with a client and simultaneously being aware of both the client's reactions and one's own
reactions. Self-awareness promotes true mutuality. Option C: Participant observation promotes
viewing the client as a person with unique attributes. Seeing the client as a unique individual
diminishes distortions and stereotyping. Option D: Participant observation promotes self-awareness.
The nurse who has self-awareness is able to separate his or her own needs from those of the client
and remain client focused. Option A: Although anxiety reduction would be a desirable outcome, it
cannot be seen as resulting from the nurse acting as a participant observer. Other interventions
would probably be necessary.

[krzymel]

Excellent

[steff9894]

TYSM