A patient in a detoxification unit asks, What good will it do to ...

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A patient in a detoxification unit asks, What good will it do to go to Alcoholics Anonymous and talk to other people with the same problem? The nurse's best response would be to explain that self-help groups such as AA provide opportunities for
 
  a. newly discharged alcoholics to learn about the disease of alcoholism.
  b. people with common problems to share their experiences with alcoholism and recovery.
  c. patients with alcoholism to receive insight-oriented treatment about the etiology of their disease.
  d. professional counselors to provide guidance to individuals recovering from alcoholism.

Question 2

A week after beginning fluoxetine (Prozac), a patient complains, I still feel so depressed all the time. Based on pharmacodynamics, the nurse's best action is to
 
  a. administer the medication on an empty stomach.
  b. advise the health care provider that the drug is ineffective.
  c. reassess the expected outcomes of antidepressant therapy.
  d. educate the patient that the drug needs more time to be effective.

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Answer to Question 1

B
The patient needs basic information about the purpose of a self-help group. The basis of self-help groups is sharing by individuals with similar problems. Self-help is based on the belief that an individual with a problem can be truly understood and helped only by others who have the same problem. The other options fail to address this or provide incorrect information.

Answer to Question 2

D
One week is probably an insufficient time for antidepressants to become effective in reducing patient symptoms. The phenomenon of receptor down-regulation develops in 2 to 4 weeks. The other options are not supported by research studies.

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No problemo