A 32-year-old male patient who recently began taking a medication for depression reports that he has had painful erections. The most recent one lasted more than 1 hour. The PMHNP should instruct him to discontinue:
Alprazolam (Xanax)
Desvenlafaxine (Pristiq)
Trazodone (Desyrel)
Lamotrigine (Lamictal)
The Correct Answer is C
Choice A reason: Alprazolam, a benzodiazepine, is associated with sedation and anxiety reduction but is not commonly linked to priapism.
Choice B reason: Desvenlafaxine, an SNRI, may cause sexual side effects but rarely induces priapism.
Choice C reason: Trazodone is a known cause of priapism due to alpha-adrenergic blockade, and prolonged painful erections require immediate discontinuation and medical attention.
Choice D reason: Lamotrigine rarely causes priapism and is primarily used as a mood stabilizer; it is unlikely to be the culprit in this scenario.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Global developmental delay typically involves delays across multiple developmental domains, including motor, social, cognitive, and language skills. In this case, the child is developmentally on track in all areas except for speech articulation, making global developmental delay less likely.
Choice B reason: Autism spectrum disorder often presents with deficits in social communication, restricted interests, and repetitive behaviors. This child demonstrates normal social engagement and imaginative play and has no deficits in peer interaction, which makes autism spectrum disorder unlikely.
Choice C reason: Speech sound disorder is characterized by persistent difficulties with speech sound production that interfere with intelligibility. The child has received speech therapy but continues to have difficulty being understood. She has normal social and cognitive development, which aligns with a primary speech sound disorder.
Choice D reason: Selective mutism involves consistent failure to speak in specific social situations despite speaking in other contexts. This child speaks normally in other contexts, and the concern is with articulation, not selective refusal to speak, ruling out selective mutism.
Correct Answer is C
Explanation
Choice A reason: Restricting visitation to only the biological mother is inappropriate, disregards family dynamics, and may harm the therapeutic relationship.
Choice B reason: While legal parent status is important, excluding one parent from the session is not aligned with family-centered care, especially when both caregivers function as parents.
Choice C reason: Accepting both women as parents acknowledges the child’s family structure, supports family engagement in treatment, and promotes inclusive, evidence-based family therapy practices.
Choice D reason: Sneaking a parent into the session is unethical and unsafe, violating hospital rules and professional standards.
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