A nurse is providing teaching to a client who has depressive disorder and a new prescription for doxepin. Which of the following instructions should the nurse include in the teaching?

Avoid over-the-counter magnesium when taking this medication

Eat a snack before going to bed.

Sit on the side of the bed for a few minutes before standing

Decrease the prescribed dose by half when mood improves

Answer and Explanation

The Correct Answer is C

A. Avoid over-the-counter magnesium when taking this medication: There is no specific contraindication between doxepin and magnesium supplements. However, clients should consult their healthcare provider before using any over-the-counter products.
B. Eat a snack before going to bed: While this is not incorrect for some medications, it is not a primary teaching point for doxepin. The medication's primary side effect concerns are sedation and orthostatic hypotension, not hunger-related issues.
C. Sit on the side of the bed for a few minutes before standing: Doxepin, a tricyclic antidepressant, can cause orthostatic hypotension, leading to dizziness when standing. Sitting on the side of the bed before standing helps reduce this risk by allowing the body to adjust to the change in position.
D. Decrease the prescribed dose by half when mood improves: Clients should never adjust their prescribed medication dose without consulting their provider. Abruptly stopping or reducing the dose can cause withdrawal symptoms or a relapse of depressive symptoms.

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Correct Answer is B

Explanation

A. Minimize time spent gambling each week: While reducing time spent gambling can be helpful, the focus should be on addressing the underlying behaviors and emotions related to the gambling disorder. A more holistic approach is typically more effective.
B. Encourage the client to participate in a self-help group: Self-help groups, such as Gamblers Anonymous, provide valuable support for individuals with gambling disorders. These groups offer shared experiences and coping strategies, making them a crucial part of the treatment plan.
C. Ask the client why they are unable to stop gambling: Asking "why" may feel confrontational or non-supportive. Instead, the nurse should use therapeutic communication to explore the client’s thoughts and feelings in a non-judgmental way.
D. Obtain a prescription for memantine: Memantine is used to treat Alzheimer's disease and other cognitive disorders, not gambling disorder. Medications are not typically the primary treatment for gambling disorder; instead, therapy and behavioral interventions are applied.

A. "My boss fired me due to my frequent absence." B. "My friends frequently drink alcohol, so I do not see them anymore." C. "I have a sibling who attends Al-Anon” D. "I take care of my parent who has Wernicke-Korsakoff syndrome."

Correct Answer is C

Explanation

A. "My boss fired me due to my frequent absence": This statement indicates a lack of support in the client's work environment, rather than a positive support system. Losing a job due to alcohol use suggests strained relationships and challenges in the client's social or professional life.
B. "My friends frequently drink alcohol, so I do not see them anymore": While the client is avoiding potentially harmful relationships, this statement indicates isolation rather than a supportive network.
C. "I have a sibling who attends Al-Anon": This statement indicates that the client has a family member actively involved in a support group (Al-Anon), which is designed for families and friends of individuals with alcohol use disorders. This suggests the client has a support system in place.
D. "I take care of my parent who has Wernicke-Korsakoff syndrome": While this indicates a sense of responsibility, it does not necessarily point to a supportive relationship. The client may be struggling with caregiving without the emotional or social support they need.

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Body system	Findings
Neurological	Impaired cognition Insomnia Seizures
Cardiovascular	Increased blood pressure Increased heart rate Diaphoresis
Gastrointestinal	Lack of appetite Vomiting
Musculoskeletal	Tremulousness Malaise

A nurse is providing teaching to a client who has depressive disorder and a new prescription for doxepin. Which of the following instructions should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who has a gambling disorder. Which of the following actions should the nurse include in the plan of care?

Correct Answer is B

Explanation

A nurse is caring for a client who has alcohol use disorder. Which of the following statements made by the client indicates the client has a support system?

Correct Answer is C

Explanation

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