A nurse is caring for a client who has bulimia nervosa has a new prescription for a selective serotonin reuptake inhibitor (SSRI). Which of the following medications should the nurse anticipate administering?
Valproate
Olanzapine
Naltrexone
Fluoxetine
The Correct Answer is D
A. Valproate. Valproate is an anticonvulsant medication primarily used to treat seizures and bipolar disorder, and it is not indicated for the treatment of bulimia nervosa.
B. Olanzapine. Olanzapine is an atypical antipsychotic that may be used in certain eating disorders, but it is not the first-line treatment for bulimia nervosa. SSRIs, specifically fluoxetine, are more commonly prescribed for this condition.
C. Naltrexone. Naltrexone is an opioid antagonist used primarily for alcohol dependence and opioid use disorder. It is not indicated for the treatment of bulimia nervosa.
D. Fluoxetine. Fluoxetine is a selective serotonin reuptake inhibitor (SSRI) that has been shown to be effective in reducing binge-eating and purging behaviors in individuals with bulimia nervosa. It is the medication the nurse should anticipate administering for this client.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. People diagnosed with schizophrenia are more violent than others. Research indicates that individuals with schizophrenia are not inherently more violent than the general population. They are more likely to be victims of violence rather than perpetrators, especially if they have co-occurring substance use disorders.
B. Biologically male clients are typically diagnosed earlier than biologically female clients. Schizophrenia tends to manifest earlier in males, typically in the late teens to early 20s, whereas females are more often diagnosed in their late 20s to early 30s. This difference is believed to be influenced by hormonal and neurobiological factors.
C. Biologically female clients are likely to be diagnosed earlier than biologically male clients. This statement is incorrect because females generally receive a schizophrenia diagnosis later than males, often in their late 20s or beyond, rather than in adolescence or early adulthood.
D. Diagnosis commonly occurs in individuals under the age of 12. Schizophrenia is extremely rare in children under 12. The typical onset occurs in late adolescence or early adulthood, making early childhood diagnosis highly uncommon.
Correct Answer is ["A","D","E"]
Explanation
A. Hallucinations. Hallucinations, particularly auditory hallucinations, are one of the core symptoms of schizophrenia. They involve perceiving things that are not present, such as hearing voices.
B. Inability to initiate activities. While this may be a feature of schizophrenia, it is not one of the primary diagnostic criteria. This symptom may be related to negative symptoms but is not specifically required for diagnosis.
C. Antisocial personality. Antisocial personality disorder is a separate diagnosis and not a symptom of schizophrenia. The presence of antisocial personality traits does not fulfill the criteria for schizophrenia.
D. Lack of emotional expression. This symptom, often referred to as flat affect, is considered a negative symptom of schizophrenia and can contribute to the diagnosis, as it indicates diminished emotional responsiveness.
E. Disorganized behavior. Disorganized behavior, including disorganized speech and erratic actions, is a key symptom of schizophrenia and is part of the diagnostic criteria.
F. Impaired interpersonal relationships. While impaired relationships may result from the symptoms of schizophrenia, this is not a specific criterion for diagnosis. The focus is on the presence of specific symptoms such as hallucinations, disorganized behavior, and negative symptoms like lack of emotional expression.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.