A 31-year-old male client has come to the PMHNP for a medication follow-up. He tells the prescriber he is feeling "very good" on escitalopram (Lexapro). He feels so good, in fact, that he has decided to add the supplement tryptophan to his medication regimen to "boost" its effect. What is the most appropriate response by the PMHNP?
"I'm proud to see you are taking control of your health."
"That sounds very positive, and there is some evidence tryptophan does help with depression."
"I'm pleased you are doing well on your medication, but it could be dangerous to combine the supplement with the antidepressant."
"That was not a very smart thing to do. You should have talked to me before you started any new over-the-counter product."
The Correct Answer is C
Choice A reason: While encouraging autonomy is important, this response overlooks the potential danger of combining serotonergic agents. It may inadvertently reinforce unsafe behavior.
Choice B reason: Although tryptophan has been studied for its role in mood regulation, combining it with SSRIs like escitalopram increases the risk of serotonin syndrome—a potentially life-threatening condition. This response fails to address the safety concern.
Choice C reason: This response acknowledges the client’s progress while appropriately warning about the risk of serotonin syndrome. It maintains therapeutic rapport and provides necessary education about drug interactions.
Choice D reason: This response is overly critical and may damage the therapeutic relationship. It does not validate the client’s intent or provide constructive guidance.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Ego-dystonic refers to thoughts, behaviors, or feelings that are in conflict with a person’s ideal self-image and cause distress. The client’s emotional suffering and desire to understand “what’s wrong” indicate that she finds her symptoms distressing and inconsistent with how she wants to feel or behave, which is characteristic of ego-dystonic experiences.
Choice B reason: Ego-syntonic behaviors are consistent with the individual’s self-perception and are not experienced as problematic. This does not apply here, as the client is clearly distressed and seeking help for her symptoms.
Choice C reason: Maladaptive refers to behaviors that inhibit a person’s ability to adjust to new situations or environments. While the client’s behaviors are maladaptive, this term does not specifically capture the internal conflict and distress she feels, making ego-dystonic the more precise descriptor.
Choice D reason: Inflexible describes rigidity in behavior or thought, often seen in personality disorders. Although the client may exhibit inflexible patterns, this term does not address the emotional discomfort she experiences due to those patterns.
Correct Answer is D
Explanation
Choice A reason: The forming phase is the initial stage of group development where members are polite, cautious, and focused on orientation. Communication is limited and guarded.
Choice B reason: The storming phase involves conflict and competition as members assert their opinions and challenge group norms. Communication may be intense but not yet open or spontaneous.
Choice C reason: The norming phase is marked by increased cohesion and collaboration. Communication improves, but spontaneity and openness are still developing.
Choice D reason: The performing phase is the most advanced stage of group development. Members communicate openly and spontaneously, trust is established, and the group functions effectively toward shared goals.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.