A client has been started on antidepressants. Which interdisciplinary team member is most responsible for monitoring effectiveness and side effects of this new medication?

Pharmacist

Psychiatrist

Psychologist

Psychiatric nurse

Answer and Explanation

The Correct Answer is D

While all members of the interdisciplinary team play important roles in the care of a client started on antidepressant medication, the psychiatric nurse typically takes a leading role in monitoring the medication's effectiveness and side effects.

1. Pharmacist: The pharmacist plays a crucial role in ensuring the safe and accurate dispensing of medications. They provide important information about the medication, its dosing, and potential drug interactions. However, they may not be directly involved in monitoring the client's response to the medication or assessing for specific side effects.

2. Psychiatrist: The psychiatrist is responsible for prescribing the antidepressant medication and determining the appropriate treatment plan for the client. While they may periodically review the client's progress and adjust the medication as needed, their role may focus more on the overall management of the client's mental health condition rather than continuous monitoring of the medication's effectiveness and side effects.

3. Psychologist: The psychologist typically focuses on providing therapy and counseling services to the client. While they may have knowledge about the effects of antidepressant medication, their primary role is not to monitor its effectiveness or side effects.

4. Psychiatric nurse: The psychiatric nurse is often at the forefront of medication monitoring and management. They closely observe the client for changes in symptoms, assess the client's response to the antidepressant medication, and monitor for any potential side effects or adverse reactions. The psychiatric nurse may collaborate with the psychiatrist and other team members to adjust the medication regimen and provide ongoing support and education to the client about their medication.

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Correct Answer is B

Explanation

An evolving consumer household, also known as a supported or assisted living arrangement, is designed to provide individuals with a greater level of independence and autonomy compared to a traditional group home setting. The emphasis is on empowering clients to develop and enhance their skills and abilities to live more independently.

By transitioning to an evolving consumer household, the ultimate goal is for the client to be able to fulfill their daily responsibilities without constant supervision. This includes activities such as managing their personal care, household tasks, budgeting, meal preparation, and other essential activities of daily living. The aim is to promote self-sufficiency and a sense of personal agency, enabling the client to become more self-reliant and self-directed in their daily life.

While meeting with a therapist on a weekly basis may be a component of the client's overall treatment plan, it is not the primary goal of transitioning to an evolving consumer household. The focus is more on developing independent living skills rather than solely on therapeutic interventions.

Similarly, although emotional support from paid staff may be available in the evolving consumer household, the goal is not to solely rely on increased emotional support but rather to gradually reduce the need for constant support and supervision.

Resolving crises within a shorter time period is an important aspect of care in any setting, but it is not specifically tied to the transition from a group home to an evolving consumer household. Crisis management skills and strategies can be addressed in various settings to ensure the client's well-being and safety.

A. “I can see you are anxious. Let's stop for a minute." B. “Use the deep breathing techniques we practiced yesterday." C. "What is the worst that will happen if you confront this fear?" D. “Tell me how you are feeling right now."

Correct Answer is C

Explanation

Systematic desensitization is a therapeutic technique used to help individuals gradually overcome their fears or phobias by exposing them to the feared stimulus in a controlled and systematic way. The goal is to reduce anxiety and increase relaxation through a step-by-step process.

The statement "What is the worst that will happen if you confront this fear?" aligns with the principle of systematic desensitization because it encourages the client to explore and challenge their negative beliefs or catastrophic thinking associated with their fear. By questioning the potential negative outcomes, the nurse is helping the client to reevaluate their fear response

and consider more realistic expectations. This process can contribute to the client's ability to confront their fear gradually and reduce anxiety over time.

The other statements are still helpful and supportive, but they do not specifically address the principles of systematic desensitization:

“I can see you are anxious. Let's stop for a minute." acknowledges the client's anxiety but does not actively engage in the technique of systematic desensitization.

"Use the deep breathing techniques we practiced yesterday." focuses on relaxation techniques, which can be helpful in managing anxiety but does not specifically address the principles of systematic desensitization.

“Tell me how you are feeling right now." encourages the client to express their feelings but does not directly engage in the technique of systematic desensitization.

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A client has been started on antidepressants. Which interdisciplinary team member is most responsible for monitoring effectiveness and side effects of this new medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is being transferred from a group home to an evolving consumer household. The goal of this transition is for the client to eventually do what?

Correct Answer is B

Explanation

A nurse is assisting a client who is working on the technique of systematic desensitization. Which statement made by the nurse best uses the principle of technique?

Correct Answer is C

Explanation

A nurse is assisting a client who is working on the technique of systematic desensitization. Which statement made by the nurse best uses the principle of technique?

A nurse is discussing culturally competent care at a nursing staff inservice. Which of the following information should the nurse include when discussing clients' cultures?

A client is being transferred from a group home to an evolving consumer household. The goal of this transition is for the client to eventually do what?

A client has been started on antidepressants. Which interdisciplinary team member is most responsible for monitoring effectiveness and side effects of this new medication?

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The nurse has established a therapeutic relationship with a client. Which behaviors identified will indicate that the client has entered into the identification phase of the nurse-client relationship?

During the assessment, the nurse asks the client to describe the client's problems. The purpose of this question is to obtain information about what?

The nurse is creating a plan of care for a client experiencing a situational crisis. Which is the most measurable and obtainable goal for the client to achieve?