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 ["B","C","E"]

Explanation

A. Behavior viewed as acceptable in one culture is acceptable in all cultures. False. Cultural norms and values vary widely, and what is acceptable behavior in one culture may not be acceptable in another.

B. Many ever-changing components and interrelated factors influence a person's mental health. True. Mental health is influenced by a complex interplay of biological, psychological, social, and environmental factors that can change over time.

C. Mental illness often causes impaired functioning. True. Mental illnesses can affect a person's thoughts, emotions, behaviors, and overall functioning, leading to impairment in various areas of life such as work, relationships, and self-care.

D. Mental health and mental illness are easy to define. False. Mental health and mental illness are complex concepts that can be challenging to define precisely due to their multidimensional nature and varying perspectives across cultures and disciplines.

E. Mental health is evidenced by satisfying interpersonal relationships, effective behavior and coping, positive self-concept, and emotional stability. True. These factors, among others, are commonly associated with good mental health and can indicate a person's overall mental well-being.

A. "Self-help groups are run by members and do not have a formal leader." B. "Providing education to members is the purpose of self-help groups." C. "Self-help groups have professionals lead the formal groups." D. “Confidentiality of the members is not an expectation with self-help groups."

Correct Answer is A

Explanation

A. "Self-help groups are run by members and do not have a formal leader.": This statement indicates that learning has occurred because it accurately describes a key characteristic of self-help groups like Alcoholics Anonymous. These groups are typically organized and run by members themselves, with no formal leadership structure.

B. "Providing education to members is the purpose of self-help groups.": While education and support are often components of self-help groups, their primary purpose is typically to provide mutual support and encouragement among members who share a common issue or concern, such as addiction. This statement does not fully capture the primary purpose of self-help groups.

C. "Self-help groups have professionals lead the formal groups.": This statement is incorrect because self-help groups are generally peer-led, with members supporting each other rather than being led by professionals.

D. “Confidentiality of the members is not an expectation with self-help groups.": This statement is also incorrect. Confidentiality is a crucial aspect of self-help groups, where members are expected to respect each other's privacy and keep discussions within the group confidential.

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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 caring for clients in an outpatient mental health unit is explaining the mental health continuum to a group of nursing students. Which are true regarding mental health and mental illness? Select all that apply

Correct Answer is ["B","C","E"]

Explanation

A nursing instructor is teaching students about self-help groups like Alcoholics Anonymous. (A). Which student statement indicates that learning has occurred?

Correct Answer is A

Explanation

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