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 ["0.2"]

Explanation

To calculate the amount of haloperidol (Haldol) needed for the ordered dose of 1 mg when the available concentration is 5 mg/mL, we use the formula:

Amount (mL) = Ordered dose (mg) divided by Concentration (mg/mL)

Amount (mL) = 1 mg divided by 5 mg/mL

Amount (mL) = 0.2 mL

Rounding this to the nearest tenth gives us 0.2 mL. Therefore, the nurse should administer 0.2 mL of haloperidol (Haldol) to deliver the ordered dose of 1 mg.

A. Rationalization B. Denial C. Regression D. Suppresion

Correct Answer is A

Explanation

A. Rationalization:
Rationalization involves providing logical or rational explanations to justify one's behavior or actions, especially when faced with anxiety or guilt. In this scenario, the student is rationalizing their decision to go to the party instead of studying by attributing their low exam score to having to work too much. This rationalization serves as a way to lessen feelings of guilt or responsibility for not studying adequately. In this scenario, the most applicable defense mechanism is A. Rationalization, as the student is providing a logical explanation to justify their behavior and avoid taking full responsibility for their actions or decisions.

B. Denial:
Denial is a defense mechanism where an individual refuses to accept or acknowledge reality or facts that are too painful or distressing. If the student were in denial, they would outright reject or refuse to believe that their decision to attend the party had any impact on their exam performance, despite evidence suggesting otherwise.

C. Regression:
Regression involves reverting to earlier, more childlike behaviors or coping mechanisms in response to stress or anxiety. If the student were exhibiting regression, they might engage in behaviors characteristic of a less mature or responsible approach to handling academic challenges, such as avoiding responsibility or blaming external factors without taking personal accountability.

D. Suppression:
Suppression is a defense mechanism where an individual consciously pushes aside or ignores thoughts, feelings, or impulses that are distressing or unacceptable. If the student were suppressing their feelings of guilt or regret about attending the party instead of studying, they would be deliberately trying to ignore or push away these emotions rather than addressing them directly.

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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 calculator is activated within your exam. Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero. Enter numeric value only. Do not label. Ordered: haloperidol (Haldol) 1 mg Available: haloperidol (Haldol) 5 mg/mL Administer:

Correct Answer is ["0.2"]

Explanation

A college student decides to go to a party the night before a major exam instead of studying. After receiving a low score on the exam, the student tells a fellow student, "I have to work too much and don't have time to study." which defense mechanism is the student using?

Correct Answer is A

Explanation

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