A 16-year-old girl presents to the psychiatric-mental health nurse practitioner with a chief complaint of depression. During the psychiatric evaluation, the client states that she is taking a medication the PMHNP recognizes as a depression-inducer. Which of the following medications possibly induced depression in this client?
Dextromethorphan
Diphenhydramine
Isotretinoin
Pseudoephedrine
The Correct Answer is C
Choice A reason: Dextromethorphan is a cough suppressant with NMDA antagonist properties. While it can cause dissociation or mood changes at high doses, it is not commonly associated with inducing depression.
Choice B reason: Diphenhydramine is an antihistamine that may cause sedation or cognitive dulling but is not typically linked to depressive symptoms.
Choice C reason: Isotretinoin, used for severe acne, has been associated with psychiatric side effects including depression and suicidal ideation, particularly in adolescents. Its neuropsychiatric risk profile is well-documented and warrants close monitoring.
Choice D reason: Pseudoephedrine is a decongestant that may cause agitation or insomnia but is not known to induce depression.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: The forming stage is the initial phase of group development where members are polite, cautious, and focused on orientation. Conflict is minimal as individuals are still learning about each other and the group’s purpose. This phase is characterized by dependency and avoidance of controversy.
Choice B reason: The storming stage is marked by the emergence of conflict as group members begin to assert their opinions, challenge authority, and jockey for roles. This phase is essential for growth but can be turbulent. Disagreements and power struggles are common as the group works through interpersonal dynamics.
Choice C reason: The norming stage follows storming and involves the resolution of conflict. Members begin to establish norms, develop cohesion, and collaborate more effectively. While minor disagreements may occur, the major conflicts of the storming phase have typically been resolved.
Choice D reason: The performing stage is characterized by high productivity and effective collaboration. Roles are clear, trust is established, and the group functions smoothly. Conflict is rare and usually managed constructively when it arises.
Correct Answer is C
Explanation
Choice A reason: Automatically assuming abuse based on masturbation in a 4-year-old is inappropriate and may cause unnecessary alarm. While sexual behavior can be a red flag, it must be assessed in context. This response lacks clinical judgment and violates trauma-informed principles.
Choice B reason: While evaluation is important if abuse is suspected, suggesting it is “possible” without further context may reinforce fear unnecessarily. This response is cautious but not the most appropriate initial reassurance.
Choice C reason: Masturbation in young children is often a normal part of development. At age 4, exploratory behavior is common and not necessarily indicative of abuse. This response provides reassurance while remaining clinically accurate.
Choice D reason: This question may feel accusatory and lacks sensitivity. It could damage rapport and does not reflect a trauma-informed or developmentally appropriate approach.
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