Author Question: An adult client with severe depression has been taking a tricyclic antidepressant for several years ... (Read 92 times)

rlane42 · **on:** Jul 19, 2018

An adult client with severe depression has been taking a tricyclic antidepressant for several years with reasonable success.

However, the client has had to learn to manage some of the side effects that are characteristic of this drug. What mechanism causes the side effects of tricyclic antidepressants?
A) Blockade of acetylcholine
B) Inhibition of reuptake of norepinephrine
C) Inhibition of reuptake of serotonin
D) Blockade of gamma-aminobutyric acid (GABA)

Question 2

Many of the systemic failures of the mental health care system create an iatrogenic burden for the families of those living with mental illness. Which of the following situations represents an iatrogenic burden on families?

A) A man's family is in financial jeopardy because he has exhausted his available sick time at work while being treated for depression.
B) The mother of a teenager with schizophrenia admits to feeling unsafe in her home when her son's symptoms escalate.
C) The wife of a man who has been diagnosed with depression is forced to sell a family heirloom to pay for his medication regimen.
D) Parents of a man with bipolar disorder feel in the dark about their son's prognosis because caregivers are reluctant to share detailed information with them.

tandmlomax84 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

Ans: A
Feedback:
Blockage of acetylcholine (ACh) leads to the predominant side effects of TCAs: sedation, dry mouth, blurred vision, urinary retention, delayed micturition, dizziness, and fainting.

Answer to Question 2

Ans: D
Feedback:
In cases in which clients are struggling with mental illness, the difficulty for families in accessing information to help their loved ones can be challenging, frustrating, and time consuming. This iatrogenic burden is sometimes created by current confidentiality laws. None of the other listed scenarios is an example of an iatrogenic burden for family members.