Author Question: Which nursing action best supports the maintenance of psychologic safety for a patient with mental ... (Read 26 times)

clmills979 · **on:** Jul 19, 2018

Which nursing action best supports the maintenance of psychologic safety for a patient with mental illness?

a. Helping a depressed patient to inventory personal flaws
b. Assisting a patient to change clothes after an episode of incontinence
c. Allowing an anxious patient to pace in isolation and without interruptions
d. Requiring a restrained patient to remain silent until restraints are removed

Question 2

A patient diagnosed with depression who has reported vague suicidal ideation will stay at home, have close family supervision, and make weekly visits to the health care provider

Bupropion (Wellbutrin) is prescribed. What is the benefit of bupropion in this scenario?
a. It has antianxiety properties as well as antidepressant effects.
b. It lowers the seizure threshold to a lesser extent than TCAs.
c. There is reduced potential for lethal overdose.
d. It stimulates appetite and weight gain.

aham8f · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

B
Assisting a patient to change clothes after an episode of incontinence saves embarrassment for the patient, which contributes to a positive self-concept. Requiring a restrained patient to remain silent implies punishment rather than use of an external control until they are able to regain control. The other options are not therapeutic and do not promote psychologic safety.

Answer to Question 2

C
Bupropion has no lethal-overdose potential, making it well suited for use in outpatient treatment of depression. Bupropion has a narrow therapeutic index but is far less lethal than TCAs or monoamine oxidase inhibitors (MAOIs). However, it might cause agitation, anxiety, seizures, anorexia, and weight loss.