Chap. 7 review questions Flashcards
Mrs Thomas has been diagnosed with MDD and is placed on Serzone 20 mg for her depression. For the PMHNP to effectively monitor this client’s use of the medication, which of the following actions should be part of ongoing care?
A - use of a standardized rating scale of depression
B - monitoring for potential abuse of the medication
C - monitoring of baseline labs of renal functioning
D - monitoring for potential cardiac side-effects
A - use of a standardized rating scale of depression
The use of a standardized rating scale will allow the PMHNP to monitor the level of client symptoms and to evaluate the efficacy of the medication
A 23-yo-F is brought into the ER after attempting suicide by cutting her wrists. Which nursing actions by the PMHNP would be of highest priority initially?
A - assess her coping behaviors
B - assess her current level of suicidality
C - take her vital signs
D - assess her health history
C - take her vital signs
Need to ensure that her suicide attempt has not led to medical instability
The TCA class of medications can be characterized by all of the following properties except:
A - safety in overdose
B - inexpensive cost of medications
C - significant side-effect concerns
D - long half-life
A - safety in overdose
TCAs are generally unsafe in overdose
For the PMHNP to provide a client with an adequate trial on an antidepressant medication, what time period of continuous medication use is required?
A - 6 weeks
B - 6 months
C - 3 weeks
D - 10 weeks
A - 6 weeks.
Six to eight weeks is considered an adequate trial.
