An adult who has recurrent episodes of depression tells the nurse that the prescribed antidepressant needs to be discontinued because the client is feeling better after taking the medication for the past couple of weeks and does not like the side effects. Which response is best for the nurse to provide?
Tell the client to discuss the medication side effects with the healthcare provider.
Tell the client that the medication's side effects will most likely dissipate over time.
Inform the client that gradual tapering must be used to discontinue the medication.
Remind the client that feeling better is the therapeutic effect of the medication.
None
None
The Correct Answer is D
Choice A rationale: While the healthcare provider manages prescriptions, the nurse's immediate priority is providing education to prevent non-compliance and relapse. Referring the client elsewhere may delay critical reinforcement of treatment goals.
Choice B rationale: Although many side effects eventually diminish, telling the client they will "most likely dissipate" offers no immediate solution to their dissatisfaction and may diminish the client's current physical discomfort.
Choice C rationale: While true that antidepressants require tapering to avoid withdrawal, this does not address the client's misconception that the medication is no longer needed because they feel improved.
Choice D rationale: Patients often mistake the therapeutic effect for a permanent "cure." Explaining that they feel better specifically because the medication is working helps them understand the necessity of continued maintenance therapy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The Ortolani maneuver is a physical examination technique used to assess for developmental dysplasia of the hip (DDH) in newborns. During the maneuver, the nurse gently abducts the infant's hips and applies gentle pressure to detect any instability or "click" at the hip joint. A positive Ortolani maneuver, where a click or clunk is felt or heard, can indicate the presence of a hip dislocation or dysplasia.
Asymmetrical buttocks can be a sign of hip dysplasia in newborns, and a positive Ortolani maneuver is an important finding that suggests a potential hip joint problem. Reporting this assessment test result to the healthcare provider allows for further evaluation and appropriate management of the newborn's hip condition.
The Plumb line test, which assesses fetal position curvature, is not directly related to hip dysplasia and may not be significant in this context.
The Babinski test, which reveals fanning out of the toes, is used to assess the integrity of the infant's neurological system and is not specific to hip dysplasia.
The Moro test, also known as the startle response, is a reflex assessment used to evaluate the newborn's neurological and sensory function. While it is important to assess the overall neurological status of the newborn, the Moro test is not specific to hip dysplasia.
Correct Answer is C
Explanation
less than body requirements would be the nursing problem with the highest priority for an adolescent with anorexia nervosa. Anorexia nervosa is characterized by a severe restriction of food intake leading to a significantly low body weight, which can have serious physical and psychological consequences. Therefore, addressing the client's malnutrition and promoting adequate nutrition intake is crucial to prevent further complications.
Disturbed Body Image, Interrupted Family Processes, and Noncompliance with treatment regimen are important nursing problems to address, but they are secondary to the client's malnutrition.
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