Author Question: A patient diagnosed with major depression began taking a tricyclic antidepressant 1 week ago. Today ... (Read 115 times)

penza

  • Hero Member
  • *****
  • Posts: 1,022
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
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


 

Did you know?

Allergies play a major part in the health of children. The most prevalent childhood allergies are milk, egg, soy, wheat, peanuts, tree nuts, and seafood.

Did you know?

The top five reasons that children stay home from school are as follows: colds, stomach flu (gastroenteritis), ear infection (otitis media), pink eye (conjunctivitis), and sore throat.

Did you know?

IgA antibodies protect body surfaces exposed to outside foreign substances. IgG antibodies are found in all body fluids. IgM antibodies are the first type of antibody made in response to an infection. IgE antibody levels are often high in people with allergies. IgD antibodies are found in tissues lining the abdomen and chest.

Did you know?

Barbituric acid, the base material of barbiturates, was first synthesized in 1863 by Adolph von Bayer. His company later went on to synthesize aspirin for the first time, and Bayer aspirin is still a popular brand today.

Did you know?

The immune system needs 9.5 hours of sleep in total darkness to recharge completely.

For a complete list of videos, visit our video library