A nurse is providing education to a patient with MDD who has been prescribed an atypical antidepressant. What should the nurse emphasize as a key aspect of medication adherence?

Taking the medication only as needed.

Taking the medication on an empty stomach.

Reporting any side effects to the healthcare provider.

Stopping the medication abruptly if side effects occur.

Answer and Explanation

The Correct Answer is C

Choice C rationale:

The nurse should emphasize the importance of reporting any side effects to the healthcare provider when educating a patient with MDD who has been prescribed an atypical antidepressant. Side effects can vary from person to person, and prompt reporting allows the healthcare provider to monitor and manage any adverse reactions effectively.

Choice A Rationale:

Choice A (Taking the medication only as needed) is incorrect because atypical antidepressants, like other antidepressants, need to be taken consistently as prescribed. Taking them as needed may not provide the sustained therapeutic levels required to manage MDD effectively.

Choice B Rationale:

Choice B (Taking the medication on an empty stomach) is not a key aspect of medication adherence for atypical antidepressants. While some medications do require administration on an empty stomach, this is not a general guideline for all antidepressants.

Choice D Rationale:

Choice D (Stopping the medication abruptly if side effects occur) is incorrect. Abruptly stopping an antidepressant, including atypical ones, can lead to withdrawal symptoms and a sudden return of depressive symptoms. Discontinuation should be done under the guidance of a healthcare professional and usually involves tapering the dose.

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Correct Answer is ["A","C","D"]

Explanation

Choice A rationale:

Correct Choice Inflated self-esteem or grandiosity is a symptom commonly present during hypomanic episodes. Individuals experiencing a hypomanic episode often have an exaggerated sense of self-importance, believe they possess special abilities or talents, and may engage in grandiose plans.

Choice B rationale:

Marked impairment in social functioning is not a typical symptom of hypomanic episodes. While individuals in a hypomanic state may exhibit increased sociability, their social functioning is generally not impaired to the extent that it would be considered a defining characteristic of this episode. Hypomania is often associated with increased productivity and a generally positive mood.

Choice C rationale:

Correct Choice Decreased need for sleep is a symptom seen in hypomanic episodes. Individuals may feel rested with significantly less sleep than usual, yet they remain energetic and highly active. This is in contrast to depressive episodes where individuals often experience increased sleep and fatigue.

Choice D rationale:

Correct Choice Flight of ideas and racing thoughts are common symptoms of hypomanic episodes. Individuals may experience a rapid flow of thoughts, jumping from one idea to another quickly, and find it challenging to keep their thoughts focused on a single topic.

Choice E rationale:

Psychotic features like delusions are not typically associated with hypomanic episodes. Delusions are more commonly seen in severe manic episodes or mixed episodes where features of both mania and depression coexist.

A. Take the medication with alcohol to enhance its effects. B. Avoid taking the medication with food. C. Report any side effects or suicidal thoughts. D. Stop the medication if symptoms improve within a week.

Correct Answer is C

Explanation

Choice A rationale:

Taking the medication with alcohol is not recommended. Alcohol can interact negatively with antidepressants, including SSRIs (Selective Serotonin Reuptake Inhibitors). It can increase the risk of side effects and potentially reduce the effectiveness of the medication. In some cases, alcohol can also worsen depression symptoms.

Choice B rationale:

Avoiding taking the medication with food is not the best advice. While some medications might require specific instructions regarding food intake, SSRIs are generally taken with food to help minimize potential stomach upset. Therefore, instructing the client to take the medication with food would be more appropriate.

Choice C rationale:

(Correct Choice) Instructing the client to report any side effects or suicidal thoughts is crucial when starting antidepressant treatment. SSRIs and other antidepressants can have side effects, some of which might be serious or bothersome. Additionally, there's a potential risk of increased suicidal ideation, especially in the initial stages of treatment. Monitoring for any changes in mood, behavior, or physical symptoms is important for ensuring the client's safety.

Choice D rationale:

Stopping the medication if symptoms improve within a week is not recommended. It takes time for antidepressants to start showing their full effects. Improvements within the first week are unlikely to be significant, and stopping the medication abruptly can lead to a recurrence of symptoms or even withdrawal effects. The client should be advised to continue taking the medication as prescribed and to follow up with their healthcare provider if there are concerns.

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A nurse is providing education to a patient with MDD who has been prescribed an atypical antidepressant. What should the nurse emphasize as a key aspect of medication adherence?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is diagnosed with bipolar disorder and is currently experiencing a hypomanic episode. Select all the symptoms that could be present during a hypomanic episode.

Correct Answer is ["A","C","D"]

Explanation

A client with MDD has been prescribed an SSRI antidepressant. The nurse should instruct the client to:

Correct Answer is C

Explanation

A client with bipolar disorder is exhibiting signs of impaired judgment and poor insight. What should the nurse assess and document about the client's cognitive abilities?

A nurse is providing care to a patient with bipolar disorder. What is the primary goal of the nursing process during the implementation phase for this patient?

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A nurse is educating a support group about depressive episodes in bipolar disorder. Which statement accurately describes a symptom of a depressive episode?

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