Which outcomes would be appropriate to determine early favorable ...

[MGLQZ]

Which outcomes would be appropriate to determine early favorable response to antide-pressant medication?
 
  a. The patient will complete own self-care activities.
  b. The patient will demonstrate assertive communication skills.
  c. The patient will describe signs and symptoms of major depression.
  d. The patient will make plans to attend one community social activity a week.

Question 2

A patient who has been taking lithium carbonate 300 mg tid comes to the Outpatient Department with a list of medications he is taking. Which of the medications on the list would require re-evaluation of lithium dosage?
 
  a. HydroDIURIL daily
  b. Navane bid
  c. Ativan at bedtime
  d. Cefobid daily

[Kedrick2014]

Answer to Question 1

ANS: A
Ability to manage basic ADLs demonstrates improvement in major depression. Understand-ing the disorder may occur later when patient cognition has improved enough to be able to process information. Initiation of community social activity occurs when the patient has in-creased energy. Assertive communication is learned and practiced after the depression lifts.

Answer to Question 2

ANS: A
Diuretics alter fluid and electrolyte balance, increasing risk for lithium toxicity; therefore HydroDIURIL is correct. Antipsychotic medications are frequently prescribed concurrently with lithium to manage acute symptoms of mania, so no re-evaluation of lithium dose is nec-essary for Navane. Antianxiety drugs are not contraindicated with concurrent lithium use, so no lithium dose re-evaluation is necessary for Ativan. Antibiotics do not alter fluid and elec-trolyte balance, so readjustment of lithium dosage is not required for Cefobid.

[MGLQZ]

Thanks for the timely response, appreciate it

[JaynaD87]

Gracias!