A patient diagnosed with major depressive disorder was hospitalized for 8 days. Treatment included six electroconvulsive therapy sessions and aggressive dose adjustments of antidepressant medications. The patient owns a small business and was counseled not to make major decisions for a month. Select the correct rationale for this counseling.
Antidepressant medications alter catecholamine levels, which impair decision-making abilities.
The patient needs time to reorient him or herself to a pressured work schedule.
Temporary memory impairments and confusion can be associated with electroconvulsive therapy.
Antidepressant medications may cause confusion related to a limitation of tyramine in the diet.
The Correct Answer is C
A. This is not the primary reason for the counseling. The decision-making recommendation is
more related to the effects of the electroconvulsive therapy and the need for the patient to recover from its associated side effects.
B. While readjustment to a work schedule might be a consideration, the primary reason for counseling against major decisions for a month is related to the potential side effects of
electroconvulsive therapy.
C. Temporary memory impairments and confusion are potential side effects of electroconvulsive therapy, which might interfere with decision-making abilities, hence the advice to refrain from major decisions.
D. Antidepressant medications causing confusion related to dietary limitations with tyramine is not directly relevant to the counseling against making major decisions after electroconvulsive therapy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. While both schizophrenia and PTSD are mental health disorders, the priority in this context for a soldier with a history of combat exposure is to screen for conditions that commonly arise from traumatic experiences, such as PTSD and major depressive disorder.
B. PTSD and major depressive disorder can often co-occur, especially in individuals exposed to trauma. Given the soldier's history of combat exposure and PTSD diagnosis, screening for major depressive disorder is crucial due to its frequent association with PTSD and its potential severity.
C. Bipolar disorder may share some symptoms with PTSD, but given the context of returning from combat and the diagnosis of PTSD, the priority would be to focus on screening for
conditions more directly linked to trauma.
D. Dementia is less likely to be directly related to combat exposure in a returning soldier. While it's essential to assess the soldier's overall mental health, the immediate concern in this scenario would be mental health conditions more commonly associated with trauma.
Correct Answer is D
Explanation
A. Fidelity pertains to faithfulness, loyalty, and keeping promises, which may not directly address the fairness of resource allocation or treatment.
B. Beneficence refers to doing good and promoting the patient's well-being. While it's relevant to patient care, it might not specifically address the fair distribution of resources or actions among different patients.
C. Autonomy emphasizes a patient's right to make decisions about their care and treatment, which doesn't directly address the fairness or justice in the scenario described.
D. Justice concerns the fair and equitable distribution of resources, treatment, and decisions among individuals. In this case, it's about ensuring fairness in the application of care plans and resources for patients who self-mutilate.
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