An adult woman is seeing a nurse therapist for depression. The ...

[altibaby]

An adult woman is seeing a nurse therapist for depression. The client has been taking fluoxetine (Prozac) for 3 weeks, but her mood has not improved.
 
  She states, I need more than this to get better so I'm taking St. John's wort, too. Why should the nurse tell the client to immediately stop taking St. John's wort?
  A) St. John's wort with fluoxetine may lead to serotonin syndrome.
  B) St. John's wort with fluoxetine may cause blood dyscrasias.
  C) St. John's wort with fluoxetine may lead to liver failure.
  D) St. John's wort with fluoxetine may lead to hypertensive crisis.

Question 2

A nurse therapist conducts regularly scheduled meditation sessions with a group of mental health clients. Which of the following most accurately describes the practice of meditation?
 
  A) Obtaining a state of consciousness in which one tries to achieve awareness without thought and positively alter physiology
  B) Changing negative images to positive images to reverse states of illness or distress
  C) Becoming aware of connecting with universal (above) and earth (below) energies, balancing energies within the body
  D) Using proper breathing, movement, and postures to promote relaxation and enhance the flow of vital energy

[mammy1697]

Answer to Question 1

Ans: A
Feedback:
As with other phytomedicinals, St. John's wort is available in capsule, dried, and tincture forms but with varying degrees of potency. It is not a proven treatment for depression, but it is thought to increase serotonin levels. Therefore, taking St. John's wort along with a prescription antidepressant may cause central serotonin syndrome.

Answer to Question 2

Ans: A
Feedback:
Clients try to achieve awareness without thought and positively alter physiology. Moment-to-moment attention leads to perceptual and cognitive changes. Focus on breathing diverts concentration from stressors.

[altibaby]

Thanks for the timely response, appreciate it

[mohan]

TYSM