A nurse is teaching a client who is to start taking fluoxetine. The nurse should instruct the client that which of the following supplements interacts adversely with fluoxetine?

Echinacea

St. John's wort

Ginkgo biloba

Soy protein

Answer and Explanation

The Correct Answer is B

A.   Echinacea may affect immune function but does not have a direct adverse interaction with fluoxetine.
B.   St. John's wort is known to interact with fluoxetine by increasing the risk of serotonin syndrome, a potentially life-threatening condition. Clients should avoid using St. John's wort with fluoxetine.
C.   Ginkgo biloba can interact with anticoagulants but does not typically cause a dangerous interaction with fluoxetine.
D.   Soy protein does not have a known adverse interaction with fluoxetine.

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Correct Answer is A

Explanation

A. Confusion after electroconvulsive therapy (ECT) is a common short-term side effect. This typically resolves within a few hours after the procedure.
B. ECT is not a cure for major depressive disorder, but it is a highly effective treatment for individuals who have not responded to other forms of treatment.
C. ECT is performed under general anesthesia, and the client will not be awake or alert during the procedure.
D. ECT does not stimulate the vagus nerve; rather, it involves electrical stimulation of the brain to induce a seizure, which has been shown to improve mood in individuals with severe depression.

A. "You should try to focus on yourself for a change." B. "Why do you feel like things will never work out?" C. "Have you been thinking about harming yourself?" D. "Maybe an antidepressant will make you feel better."

Correct Answer is C

Explanation

A. This response minimizes the client’s feelings and could be perceived as dismissive. It’s essential to acknowledge the client’s feelings before offering advice.
B. This question may seem confrontational and can make the client feel defensive, which might hinder
further communication. It’s better to ask open-ended questions related to safety and well-being.
C. The statement "Things will never work out" could indicate a sense of hopelessness, which is associated with suicidal ideation. Directly asking about self-harm or suicidal thoughts ensures that the nurse can intervene appropriately if necessary.
D. While antidepressants may be helpful for depression, it is premature to suggest medication without first assessing for safety concerns, such as suicidal ideation.

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A nurse is teaching a client who is to start taking fluoxetine. The nurse should instruct the client that which of the following supplements interacts adversely with fluoxetine?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has major depressive disorder about electroconvulsive therapy. Which of the following information should the nurse include?

Correct Answer is A

Explanation

A nurse is caring for a client who states, "Things will never work out." Which of the following responses should the nurse make?

Correct Answer is C

Explanation

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A nurse is teaching a client who is to start taking fluoxetine. The nurse should instruct the client that which of the following supplements interacts adversely with fluoxetine?

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