While nurses are engaged in shift change report, one patient ...

[madam-professor]

While nurses are engaged in shift change report, one patient becomes loud and aggressive. This patient verbally harasses and frightens another patient. Which element of the therapeutic environment has been jeopardized?
 
  a. Norms
  b. Safety
  c. Balance
  d. Structure

Question 2

Evaluation of a patient's response after 1 week of tricyclic antidepressant therapy would be expected to show
 
  a. no change in objective or subjective symptoms.
  b. increased appetite and weight gain.
  c. decreased suicidal ideation.
  d. improved mood and affect.

[peilian]

Answer to Question 1

B
Psychologic safety is violated when one patient is allowed to harass another. Staff must set limits to protect the vulnerable patient. Norms, balance, and structure refer to other elements of the environment.

Answer to Question 2

B
Improved appetite might be caused by the antihistaminic effect of the drug. Improvement in mood might not occur for 2 to 4 weeks. Suicidal ideation might not improve for 2 to 4 weeks.

[madam-professor]

Thanks for the timely response, appreciate it

[ktidd]

Gracias!