A nursing interview for a patient being admitted for depression ...

[Pea0909berry]

A nursing interview for a patient being admitted for depression reveals that the patient has been taking a benzodiazepine for anxiety for 3 years.
 
  Which actions by the nurse reflect an understanding of the effects of this classification of drugs? Select all that apply.
  a. The nurse asks how much of the drug the patient takes daily.
  b. The admitting physician is notified of the patient's medication history.
  c. The nurse prepares to discuss the process of detoxification with the patient.
  d. The nurse suggests to the patient that the dosage is likely to be increased.
  e. The patient is interviewed regarding how well the anxiety has been controlled.

Question 2

Which considerations should a nurse include when conducting a mental health assessment on a culturally diverse patient Select all that apply.
 
  a. Men and women are equally likely to seek psychiatric health care.
  b. The role that spirits and magic play in a patient's belief system is cultural based.
  c. Rituals are only deemed obsessive when applied to the patient's cultural stand-ards.
  d. Agoraphobia is more difficult to assess in cultures that restrict female socializa-tion.
  e. The nurse should consider the universal application of the Diagnostic and Statis-tical Manual (DSM-IVTR).

[nekcihc358]

Answer to Question 1

ANS: A, B, C
Benzodiazepines are relatively safe and effective for short-term use to control the debilitating symptoms of anxiety. However, longer-term treatment with these drugs raises issues of tol-erance, abuse, and dependence. The medication dosage would not be increased. The effec-tiveness of the medication is irrelevant but rather the length of the therapy is the prime con-cern.

Answer to Question 2

ANS: B, C, D
Some cultures restrict women's participation in public activities; thus agoraphobia is less commonly diagnosed. Fears of magic and spirits are present in many cultures and are patho-logic only when they are deemed excessive in the context of that culture. Many cultures have rituals to mark important events in people's lives. The observation of these rituals is not in-dicative of OCD unless it exceeds norms for that culture, is exhibited at times or places that are inappropriate for that culture, or interferes with social functioning. Most research that supports the development of the Diagnostic and Statistical Manual, ed 4, text revision (DSM-IVTR) classification occurred in the United States; consequently, symptoms that de-fine disorders are representative of U.S. culture. Overall, women are more likely than men to present for treatment or to come in contact with health care providers.

[Pea0909berry]

Excellent

[duy1981999]

TYSM