Author Question: If the nurse is using the nursing theory that has shaped psychiatricmental health most directly, ... (Read 18 times)

cnetterville · **on:** Jul 19, 2018

If the nurse is using the nursing theory that has shaped psychiatricmental health most directly, which nursing action is priority?

1. Assessing the client's abilities in areas of self-care
2. Teaching effective coping skills
3. Establishing a therapeutic nurseclient relationship
4. Encouraging the client's sensitivity and caring for self

Question 2

A family member tells the nurse that much information is available on the internet about medications. This family member asks the nurse to explain what neurotransmitters are impacted by lithium. Which nursing response is correct?

1. Lithium interacts with GABA and opens the chloride channels.
2. Lithium lowers the amount of serotonin and norepinephrine available in the neural synapses.
3. Lithium increases the amount of dopamine available at the postsynaptic receptor.
4. Lithium raises the norepinephrine levels in the neural synapse.

samiel-sayed · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

3
Rationale: The interpersonal theory of psychiatricmental health nursing and the therapeutic relationship originated by Peplau remains the theory that has shaped psychiatricmental health nursing most directly. While assessing self-care abilities, encouraging sensitivity and caring for self, and teaching effective coping skills are important areas for nursing action, all efforts are supported by a therapeutic nurseclient relationship.

Answer to Question 2

2
Rationale: Lithium aids in the reduction of neurotransmitter release, this results in lower amounts of serotonin and norepinephrine in the neural synapses. Lithium does not interact with GABA and open chloride channels, does not increase the amount of dopamine available at the postsynaptic receptor, and does not raise the norepinephrine levels in the neural synapse.