« previous next »

Author Question: A patient diagnosed with major depression began taking a tricyclic antidepressant 1 week ago. Today ... (Read 95 times)

penza

  • Hero Member
  • *****
  • Posts: 1,022
on: Jul 19, 2018
A patient diagnosed with major depression began taking a tricyclic antidepressant 1 week ago. Today the patient says, I don't think I can keep taking these pills. They make me so dizzy, especially when I stand up. The nurse will:
 
  a. limit the patient's activities to those that can be performed in a sitting position.
  b. withhold the drug, force oral fluids, and notify the health care provider.
  c. teach the patient strategies to manage postural hypotension.
  d. update the patient's mental status examination.

Question 2

When counseling patients diagnosed with major depression, an advanced practice nurse will address the negative thought patterns by using:
 
  a. psychoanalytic therapy.
  b. desensitization therapy.
  c. cognitive behavioral therapy.
  d. alternative and complementary therapies.


dlook33

  • Sr. Member
  • ****
  • Posts: 344
Reply #1 on: Jul 19, 2018
Answer to Question 1

ANS: C
Drowsiness, dizziness, and postural hypotension usually subside after the first few weeks of therapy with tricyclic antidepressants. Postural hypotension can be managed by teaching the patient to stay well hydrated and rise slowly. Knowing this information may convince the patient to continue the medication. Activity is an important aspect of the patient's treatment plan and should not be limited to activities that can be done in a sitting position. Withholding the drug, forcing oral fluids, and notifying the health care provider are unnecessary actions. Independent nursing action is called for. Updating a mental status examination is unnecessary.

Answer to Question 2

ANS: C
Cognitive behavioral therapy attempts to alter the patient's dysfunctional beliefs by focusing on positive outcomes rather than negative attributions. The patient is also taught the connection between thoughts and resultant feelings. Research shows that cognitive behavioral therapy involves the formation of new connections between nerve cells in the brain and that it is at least as effective as medication. Evidence is not present to support superior outcomes for the other psychotherapeutic modalities mentioned.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question

penza

  • Hero Member
  • *****
  • Posts: 1,022
Reply #2 on: Jul 19, 2018
TY


dlook33

  • Sr. Member
  • ****
  • Posts: 344
Reply #3 on: Jul 19, 2018
Happy to Help


« previous next »
 

Did you know?

The U.S. Preventive Services Task Force recommends that all women age 65 years of age or older should be screened with bone densitometry.

Did you know?

Many people have small pouches in their colons that bulge outward through weak spots. Each pouch is called a diverticulum. About 10% of Americans older than age 40 years have diverticulosis, which, when the pouches become infected or inflamed, is called diverticulitis. The main cause of diverticular disease is a low-fiber diet.

Did you know?

In 2006, a generic antinausea drug named ondansetron was approved. It is used to stop nausea and vomiting associated with surgery, chemotherapy, and radiation therapy.

Did you know?

About 600,000 particles of skin are shed every hour by each human. If you live to age 70 years, you have shed 105 pounds of dead skin.

Did you know?

More than 20 million Americans cite use of marijuana within the past 30 days, according to the National Survey on Drug Use and Health (NSDUH). More than 8 million admit to using it almost every day.

Closed urinary drainage system. Urine being measured after it leaves patient’s body via catheter. Closed urinary drainage system. Urine being measured after it leaves patient’s body via catheter.
Geriatric Depression (Mood Assessment) Scale Geriatric Depression (Mood Assessment) Scale
Algorithm for assessing a patient at risk for self-directed violence. Algorithm for assessing a patient at risk for self-directed violence.
Interdependence of the Major Organs in Vertebrate Fuel Metabolism Interdependence of the Major Organs in Vertebrate Fuel Metabolism
Sexual Development begins in the Seventh week of Gestation Sexual Development begins in the Seventh week of Gestation
Some of the major nerves of the human nervous system Some of the major nerves of the human nervous system
Video: X chromosome inactivation in calico cats

For a complete list of videos, visit our video library