What is the primary rationale for the nurse asking a client on ...

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What is the primary rationale for the nurse asking a client on antidepressant medication about changes in sexual functioning?
 
  1. Antidepressants used frequently contributes to sexual promiscuity and tragic regrets.
  2. A side effect of antidepressants may be sexual dysfunction that contributes to nonadherence.
  3. Cultural attitudes about sexual functioning may impact the effectiveness of the antidepressant medication.
  4. A lack of libido is a symptom of depression that may interfere with the client's relationships.

Question 2

The nurse is assessing a depressed child who was referred by the elementary school nurse. What is the best approach to use when assessing the child's socialization?
 
  1. Tell me about the friends you enjoy being with.
  2. So you spend a lot of time with your friends?
  3. You seem like a person who would have a lot of friends.
  4. How many friends do you have at school?

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Answer to Question 1

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Rationale: Sexual dysfunctions are frequent side effects of antidepressants and the client may be too embarrassed to initiate this discussion and quit taking the medication. Even though loss of libido may be a symptom of depression, it does not address the issue of the medication side effect. Cultural attitudes about sexual functioning are not directly related to the question. Antidepressants do not frequently contribute to sexual promiscuity when given to a person with a depressive disorder.

Answer to Question 2

1
Rationale: The nurse is using therapeutic communication and encouraging the client to talk about a positive aspect of life. You seem like a person who would have a lot of friends, is a judgmental observation that may also be viewed as a stereotypical comment. The question How many friends do you have at school? can be perceived as probing and intrusive, which is nontherapeutic. So you spend a lot of time with your friends? invites a yes or no response and does not facilitate exploring the child's feelings about the friends.