A nurse is caring for a 35-year-old female patient who recently ...

[lilldybug07]

A nurse is caring for a 35-year-old female patient who recently started taking antidepressants after repeated attempts at fertility treatment. The patient tells the nurse, I feel happier, but my sex drive is gone.
 
   Which nursing diagnosis has the highest priority? a. Sexual dysfunction
  b. Ineffective coping
  c. Deficient knowledge about contraception
  d. Risk for self-directed violence

Question 2

When teaching patients how to properly brush their teeth, the nurse instructs them to hold the toothbrush at what angle to the gum line?
 
  a. 15 degrees
  b. 30 degrees
  c. 45 degrees
  d. 90 degrees

[cassie_ragen]

Answer to Question 1

A
Antidepressants have adverse effects on sexual desire and response. The nurse should be sure to educate the patient on the potential for these side effects and how to correct for them, for example, using lubricant to ease discomfort. The patient has taken steps toward effective coping by seeking therapy. The patient has not expressed a reason for the nurse to be concerned about contraceptives. The nurse should always assess for concerns about violence in a patient's life. Although some antidepressants have been related to self-directed violence, this patient states that she is feeling happy.

Answer to Question 2

C

Feedback
A An angle of 15 degrees is incorrect.
B An angle of 30 degrees is incorrect.
C Teach the patient to hold the toothbrush bristles at a 45-degree angle to the gum line.
D An angle of 90 degrees is incorrect.