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An adult psychiatric and mental health nurse practitioner uses a cognitive-behavioral
approach to help an adolescent patient change self-defeating behaviors. After
identifying the initial stressor that is causing the inappropriate behavior, the therapeutic
intervention is to identify:
A. alternative positive responses to the stressor.
B. negative consequences of the behavioral response to the stressor.
C. possible outcomes of alternative responses.
D. rational and irrational beliefs about the stressor. - ANSWER - D. rational and
irrational beliefs about the stressor.
Which characteristic of fluoxetine (Prozac) provides the greatest degree of safety for
patients who have severe depression?
A. Greater efficacy than tricyclic antidepressants
B. Less potential for drug interaction
C. Less potential for injury with intentional overdose
D. Less potential for suicidal thinking - ANSWER - C. Less potential for injury with
intentional overdose
For 12 years, a 65-year-old patient with bipolar affective disorder has been treated with
lithium (Eskalith) 900 mg daily. When oral hydrochlorothiazide (HCTZ) 12.5 mg daily is
added for hypertension, the patient develops nausea, vomiting, ataxia, and muscle
weakness and the patient's serum lithium level is 2.0 mEq/L. The interaction of the
lithium and the thiazide diuretic has induced:
A. hypokalemia.
B. hyponatremia.
C. increased renal clearance of lithium.
D. reduced renal clearance of lithium. - ANSWER - D. reduced renal clearance of
lithium.
14. During patient education about sertraline (Zoloft), an adult psychiatric and mental
health nurse practitioner focuses upon the potential side effect of:
A. agranulocytosis.
B. hypernatremia.
C. sexual dysfunction.
D. weight loss. - ANSWER - C. sexual dysfunction.
The neurochemical pathophysiology of Tourette disorder involves: