The nurse preparing to teach a patient diagnosed with post-traumatic stress disorder (PTSD) about recommended psychotherapy and psychopharmacology will discuss:

Attachment-Based Therapy and Mirtazapine (Remeron).

Dialectical Behavior Therapy and Lorazepam (Ativan).

Cognitive Processing Therapy and Sertraline (Zoloft).

Applied Behavior Analysis and Atomoxetine (Strattera).

Answer and Explanation

The Correct Answer is C

Choice A reason: Attachment-Based Therapy focuses on interpersonal relationships, not trauma-specific processing, and is less effective for PTSD’s amygdala-driven fear memories. Mirtazapine enhances serotonin and norepinephrine but lacks strong evidence for PTSD, as it primarily addresses depression by modulating alpha-2 adrenergic receptors, not trauma-specific neural hyperactivity.

Choice B reason: Dialectical Behavior Therapy targets emotional regulation for personality disorders, not PTSD’s trauma-specific memories. Lorazepam, a benzodiazepine, enhances GABA activity but is not recommended for PTSD, as it may suppress rather than process trauma-related amygdala hyperactivity, risking dependency and impairing long-term recovery.

Choice C reason: Cognitive Processing Therapy restructures trauma-related cognitive distortions, reducing amygdala hyperactivity and enhancing prefrontal control in PTSD. Sertraline, an SSRI, increases serotonin levels, stabilizing mood and reducing hyperarousal by modulating amygdala-prefrontal circuits, making it a first-line treatment for PTSD’s neurochemical and cognitive symptoms.

Choice D reason: Applied Behavior Analysis is used for autism, not PTSD, and does not address trauma-related neural changes. Atomoxetine, a norepinephrine reuptake inhibitor, targets ADHD by enhancing prefrontal norepinephrine but lacks efficacy for PTSD’s amygdala-driven fear responses, making it unsuitable for trauma treatment.

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Correct Answer is B

Explanation

Choice A reason: Phenelzine, an MAOI, requires avoiding tyramine-rich foods, not selenium-rich foods. Tyramine interacts with MAOIs, causing hypertensive crises due to norepinephrine surges in the synaptic cleft. Selenium has no specific interaction with MAOIs, making this choice irrelevant to safe medication management.

Choice B reason: Phenelzine inhibits monoamine oxidase, increasing serotonin and norepinephrine, and interacts dangerously with many over-the-counter medications like pseudoephedrine, causing hypertensive crises. Consulting a pharmacist ensures safe choices, preventing adverse reactions due to altered neurotransmitter metabolism, reflecting effective understanding of MAOI risks.

Choice C reason: Monitoring sodium and weight is unrelated to phenelzine’s mechanism or side effects. MAOIs primarily affect monoamine neurotransmitters, not electrolytes or fluid balance. This behavior does not address the critical dietary or drug interaction precautions necessary for safe MAOI use.

Choice D reason: Support stockings and leg elevation address circulatory issues, not phenelzine’s risks. MAOIs increase monoamine levels, risking hypertensive crises with certain foods or drugs, not venous stasis. This behavior does not reflect understanding of phenelzine’s neurochemical interactions or safety requirements.

Correct Answer is ["10"]

Explanation

Step 1: Identify the required dose and concentration.
Required dose = 320 mg
Concentration = 160 mg per 5 mL
Result at step 1 = 320 mg ÷ (160 mg ÷ 5 mL)

Step 2: Calculate the volume in milliliters.
First, determine the milligrams per mL:
160 mg ÷ 5 mL = 32 mg/mL
Result at step 2a = 32 mg/mL
Now, calculate the volume:
320 mg ÷ 32 mg/mL = 10 mL
Result at step 2b = 10 mL

Step 3: Round to the nearest whole number.
10 mL is already a whole number.
Result at step 3 = 10 mL

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The nurse preparing to teach a patient diagnosed with post-traumatic stress disorder (PTSD) about recommended psychotherapy and psychopharmacology will discuss:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse provided medication education for a patient diagnosed with major depressive disorder who began a new prescription for phenelzine (Nardil). Which behavior indicates effective learning? The patient:

Correct Answer is B

Explanation

A nurse is preparing to administer acetaminophen 320 mg PO every four hours as needed for pain. The amount available from the pharmacy is acetaminophen liquid 160 mg/5 mL. How many mL should the nurse administer per dose? (Round to the nearest whole number.)

Correct Answer is ["10"]

Explanation

A client with bipolar disorder, having experienced a depressive episode, is prescribed lamotrigine (Lamictal). After educating the client on this medication, the nurse determines that the education was successful when the client makes which statement?

A client tells the nurse that he has bugs in his brain and asks the nurse if the nurse can see them. Which response by the nurse is most therapeutic?

A client with bipolar disorder has advanced lithium toxicity with a lithium level of 1.7 mEq/L. Which symptom would the nurse expect to assess?

A nurse is working with a client who has frequent angry outbursts when he becomes frustrated. Which statement by the nurse is a true statement about anger?

The experience of trauma causes neurochemical changes in the brain that play a role in encoding fear memories that are implicated in Post Traumatic Stress Disorder. The nurse identifies the involvement of which neurotransmitters?

A nurse states, "I evaluated a new patient using the modified SAD PERSONS scale and got a score of 10. Should I send the patient home?" Select the best reply.

A patient presenting with delusions of persecution about being poisoned has refused all meals for 3 days. Which intervention will most likely be acceptable to the patient?

A patient diagnosed with bipolar disorder has rapidly changing mood cycles. The health care provider prescribes an anticonvulsant medication. Which drug should the nurse anticipate will be prescribed?