A client asks the nurse how long it will take before the selective serotonin reuptake inhibitor (SSRI) antidepressant medication will be effective. Which reply is most accurate and therapeutic?

"It will probably take months for the medication to work. In the meantime, you should work on improving your attitude."

"If you believe it will work, then it will. You have to have faith!"

“You will have gradual Improvement in symptoms over the next two to three weeks, but you may not notice them for a while. It is important you keep taking the medication.

"This is a good medication! it will be effective within twenty minutes of the first dose."

Answer and Explanation

The Correct Answer is C

A. This response is inaccurate and potentially dismissive of the client's concerns. SSRIs generally take a few weeks to start showing noticeable effects, so stating that it will take months and advising the client to simply improve their attitude is not therapeutic or accurate.

B. This response relies on beliefs rather than evidence-based information about the medication's effectiveness. While a positive attitude can be beneficial, it's important to provide realistic expectations about the medication's timeline.

C. This response is the most accurate and therapeutic. It informs the client about the typical timeline for SSRIs to start working (two to three weeks for gradual improvement) and emphasizes the importance of continued medication adherence.

D. This response is highly inaccurate and could mislead the client. SSRIs do not start working within twenty minutes of the first dose; they require time to build up in the system and exert their therapeutic effects over a period of weeks.

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Correct Answer is D

Explanation

A. The staff care for the client using a high staff-to-client ratio.
This statement is accurate regarding ACT. ACT teams consist of multidisciplinary professionals, including psychiatrists, nurses, social workers, and case managers, who work collaboratively with a small caseload of clients. The high staff-to-client ratio allows for personalized and intensive care, frequent contact, and ongoing support to address the complex needs of clients with severe and persistent mental illness. However, choice D is slightly more accurate as it addresses the fundamental principle of ACT, which is to provide services, interventions, and support directly to the community or home environment.

B. The staff care for the client in an acute care setting.
This statement is inaccurate regarding ACT. ACT is designed for clients with chronic and severe mental health conditions who require long-term support and interventions in community settings rather than acute care settings like hospitals.

C. The client comes to a facility for day treatment programs and goes home at night.
This statement is inaccurate regarding ACT. Clients receiving ACT services do not typically attend day treatment programs at a facility; instead, they receive services and support in their homes or communities as part of the ACT model's emphasis on community-based care.

D. The client receives services in the community or home where they live.
Assertive Community Treatment (ACT) is a model of mental health care that emphasizes providing comprehensive and intensive services to clients in their community or home environments. Clients receiving ACT services typically do not need to come to a facility for day treatment programs; instead, they receive support, treatment, and interventions in their own living environments. The goal of ACT is to promote stability, independence, and recovery by addressing the client's mental health needs within the context of their daily life and community settings

A. id B. ego C. superego D. preconscious

Correct Answer is A

Explanation

A. id: According to Freudian theory, the id is the part of the psyche that contains primal and instinctual drives, such as the desire for immediate gratification and pleasure without considering consequences or societal norms. The id operates based on the pleasure principle, seeking to fulfill desires and needs without delay. In the scenario described, the 4-year-old child's behavior of grabbing toys and expressing immediate desires ("I want that toy now!") without considering others' feelings or waiting can be interpreted as impulsive behavior driven by the id's desire for immediate gratification.

B. ego: The ego, in Freudian theory, is the part of the psyche that mediates between the demands of the id, superego, and reality. It operates based on the reality principle, seeking to satisfy the id's desires in a socially acceptable and realistic manner. The ego considers consequences and social norms when making decisions. However, in the scenario provided, the child's behavior appears more impulsive and driven by immediate desires rather than being mediated by the ego's considerations.

C. superego: The superego represents the internalized moral standards and ideals learned from society, parents, and cultural influences. It functions to enforce moral and ethical behavior by instilling guilt, shame, or pride based on adherence or deviation from these standards. While the superego plays a role in shaping behavior and impulse control, the child's impulsive behavior in the scenario is more reflective of id-driven impulses rather than superego influences.

D. preconscious: The preconscious, in Freudian theory, contains thoughts, memories, and information that are not currently in awareness but can be easily accessed and brought into consciousness. It serves as a reservoir of information that can influence conscious thoughts and behaviors. However, the child's impulsive behavior in the scenario is not directly related to preconscious processes but rather to immediate desires and impulses associated with the id.

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A client asks the nurse how long it will take before the selective serotonin reuptake inhibitor (SSRI) antidepressant medication will be effective. Which reply is most accurate and therapeutic?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing care to a client using assertive community treatment (ACT). Which of the following is accurate about this type of treatment?

Correct Answer is D

Explanation

A 4-year-old child grabs toys from siblings, saying. "I want that toy now!" The siblings cry, and the child's parent becomes upset with the behavior. Using the Freudian theory, a nurse can interpret the child's behavior as a product of impulses originating in the:

Correct Answer is A

Explanation

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