In which instance would it be most important for the nurse to set ...

[TFauchery]

In which instance would it be most important for the nurse to set limits?
 
  a. An involuntarily hospitalized patient insists on being discharged.
  b. Two patients are found kissing in an obscure area of the unit.
  c. A patient with suicidal ideation asks to leave the unit.
  d. A depressed patient seeks daily telephone privileges.

Question 2

A patient tells the nurse that he stopped taking sertraline (Zoloft) because the drug made him impotent. The nurse can be most helpful by saying
 
  a. Your doctor wants you to continue taking your medication.
  b. Have you talked with your therapist regarding your feelings about sex?
  c. Let's talk with your doctor. Changing your medication might be a possibility.
  d. Our priority is to treat your depression. Impotence can be addressed in a few weeks.

[AngeliqueG]

Answer to Question 1

B
Limits should be set on acting-out behavior, self-destructive acts, physical aggressiveness, sexual behavior, lack of compliance, use of illicit substances, and elopement. The correct answer is an example of sexual behavior. The distracters depict instances in which a therapeutic response is indicated from the nurse but not necessarily limit-setting.

Answer to Question 2

C
SSRIs commonly cause sexual dysfunction. Sertraline is a widely marketed SSRI and was the second drug of this class to be used in the United States. Sertraline can also be given once daily (morning or evening) with or without food. Sertraline causes sexual dysfunction in men and women. Sexual function typically returns to normal 2 to 3 days after drug cessation. Changing to another type of antidepressant or adding bupropion in small doses can be helpful. The other options are not compassionate or therapeutic.

[TFauchery]

Thank you

[AngeliqueG]

No problemo