Author Question: The patient receives imipramine (Tofranil) as treatment for depression. He is admitted to the ... (Read 36 times)

brutforce · **on:** Jul 23, 2018

The patient receives imipramine (Tofranil) as treatment for depression. He is admitted to the emergency department following an intentional overdose of this medication. What will the best assessment by the nurse include?

1. The patient's cardiac status
2. The patient's liver function
3. The patient's renal status
4. The patient's neurological function

Question 2

The nurse is conducting a group education session for patients who have been diagnosed with depression. The nurse evaluates the education as effective when a patient makes which comment(s) about the cause of depression?

1. Depression has many causes; they could include environmental as well as brain-based disorders.
2. Depression includes impaired relationships, and is also an inherited illness.
3. We really don't know what causes depression; it has not been studied very much.
4. Depression results from unresolved conflicts in your childhood.
5. Depression results from parents who are cold and distant and don't really care about their children.

leahm14 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1
Rationale: Tricyclic antidepressants are cardiotoxic. An overdose could result in a fatal dysrhythmia. Cardiac status is the primary assessment, not the patient's renal status. Cardiac status is the primary assessment, not the patient's liver function. Cardiac status is the primary assessment, not the patient's neurological function.

Answer to Question 2

Correct Answer: 1,2
Rationale: Depression has many causes; it is a brain-based disorder that is exacerbated by environmental influences. Depression runs in families, supporting a genetic link, and will include impaired relationships. Environmental influences are only one of the causes of depression; this answer does not include the biological basis for depression. Depression could result from cold and distant parents, but this answer does not include the biological basis for depression. Depression has been studied extensively.