A patient is prescribed 40 mg/day of Fluoxetine, administered once daily. If Fluoxetine is available in 20 mg capsules, how many capsules should the patient take each day?
0 capsules
3 capsules
1 capsule
2 capsules
The Correct Answer is D
Choice A reason: Zero capsules means the patient would not receive treatment.
Choice B reason: Three capsules equal 60 mg, which is an overdose compared to the prescribed 40 mg.
Choice C reason: One capsule equals 20 mg, which is only half the prescribed daily dose.
Choice D reason: Two capsules equal 40 mg, which matches the prescribed dose exactly.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason:A neologism is a made-up word or phrase that has meaning only to the person using it, often seen in schizophrenia. The client’s repeated use of "flakala," a non-existent word, indicates the creation of a term unique to their thought process, fitting the definition of a neologism.
Choice B reason:Word salad refers to a jumbled, incoherent string of words or phrases that lack meaningful connection, making communication difficult to understand. The client’s statement is repetitive and focused on a single invented word, not a disorganized mix of unrelated words, so this does not apply.
Choice C reason:Echolalia involves repeating words or phrases spoken by others, often seen in conditions like autism or schizophrenia. The client is not mimicking someone else’s speech but is using a self-created word, so echolalia is not the correct description.
Choice D reason:Clang association is when words are chosen based on their sound, such as rhyming or alliteration, rather than meaning. The client’s use of "flakala" does not involve sound-based word choices but rather the invention of a new word, making this choice incorrect.
Correct Answer is B
Explanation
Choice A reason: Reflecting the patient’s feelings can be therapeutic in some cases, but here it could reinforce the delusion of being imprisoned rather than provide reassurance and grounding.
Choice B reason: This response provides reality orientation, reassurance, and therapeutic communication. It acknowledges the client’s concern while reinforcing the purpose of hospitalization, which is treatment and safety.
Choice C reason: Encouraging deep breathing addresses anxiety but does not respond to the client’s delusional thought. It avoids the core issue and may make the client feel dismissed.
Choice D reason: Asking “why” questions can feel confrontational and may heighten paranoia or mistrust. It does not provide therapeutic reassurance.
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