The nurse assesses that medication teaching about tricyclic antidepressants was understood when the client states:

"They may cause hypomania or recent memory impairment."

"Their full therapeutic potential may not be reached until 4 weeks."

"They should not be given with antianxiety agents."

"Strong or aged cheese should not be eaten while taking them."

Answer and Explanation

The Correct Answer is B

B. Tricyclic antidepressants (TCAs) are known to take some time before their full therapeutic effects are realized, which can indeed be up to four weeks. This delay is due to the gradual changes they induce in the brain's biochemistry.
A. TCAs can cause a variety of side effects but hypomania and recent memory impairment are not typically associated with these medications.
C. TCAs do not have a known interaction with antianxiety agents that would prohibit their concurrent use.
D. The restriction on eating strong or aged cheese is associated with another class of antidepressants known as monoamine oxidase inhibitors (MAOIs), not TCAs.

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Correct Answer is B

Explanation

B. Providing a safe and supportive environment for the child to express and manage their emotions is important. Taking the child to a room with toys allows them to engage in play and express their feelings in a constructive manner.
A. Emergency assistance from other staff would typically be reserved for situations posing immediate danger to the child or others, which may not be the case here.
C. Sending the child home immediately could be seen as a punitive measure and may not contribute to the child's understanding of the behavior's impact.
D. Directing the child to stop the behavior and then confronting the other child may escalate the situation and potentially lead to further conflict or aggression.

A. manipulation of the spinal column will correct energy flow problems." B. taking small doses of noxious substances will alleviate illness symptoms." C. herbal remedies, which are natural substances, are better than synthetics. D. the insertion of needles modulates the flow of energy along the body meridians."

Correct Answer is D

Explanation

D. Acupuncture is based on the concept of Qi (pronounced "chee"), or vital energy, flowing along specific pathways or meridians in the body. The insertion of needles at specific points along these meridians is believed to regulate the flow of Qi, restoring balance and promoting healing.
A. Acupuncture primarily involves the insertion of thin needles into specific points on the body to stimulate nerve-rich areas, not the manipulation of the spinal column.
B. Acupuncture does not involve the ingestion of substances, but rather the insertion of needles into specific points on the body to stimulate energy flow.
C. Herbal remedies may be used in conjunction with acupuncture in traditional Chinese medicine but acupuncture itself does not involve the ingestion of substances.

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The nurse assesses that medication teaching about tricyclic antidepressants was understood when the client states:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The best action for the nurse to take with a 5-year-old who runs over to another child in the waiting room and slaps her is to:

Correct Answer is B

Explanation

A client plans to go to an acupuncturist for complementary treatment of alcoholism. He asks the nurse to explain how acupuncture works. The most accurate response would be "Acupuncture is a traditional Chinese medical treatment. The Chinese believe that:

Correct Answer is D

Explanation

An adolescent diagnosed with Attention Deficit Hyperactivity Disorder (ADHD) is having difficulty maintaining concentration in the inpatient milieu. Which nursing intervention would help improve the client's task performance?

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