A severely depressed, sullen client has been taking fluoxetine for 10 days. During the first outpatient visit, the client smiles excitedly and states, "I feel so much better now." How should the nurse interpret this behavior change? The:

client may have decided to carry out the suicide plan.

medication has potentiated serotonin syndrome.

medication dosage should be decreased.

client's behavioral change is normal and expected.

Answer and Explanation

The Correct Answer is D

D. This recognizes that the client's improvement in mood is a typical response to antidepressant medication and does not automatically suggest any negative outcomes such as suicidal ideation or serotonin syndrome.
A. It's important to be vigilant for signs of suicidal ideation but sudden improvements in mood can also occur as a positive response to antidepressant medication.
B. The client's description of feeling better does not align with the symptoms of serotonin syndrome, which include agitation, confusion, rapid heart rate, high blood pressure, and hyperthermia.
C. Antidepressant medications often take several weeks to reach their full therapeutic effect, so it's not unusual for some clients to experience an improvement in mood within the first few weeks of treatment.

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Correct Answer is C

Explanation

C. This approach involves establishing clear and consistent rules and boundaries, which are crucial for managing antisocial behaviors. It helps to create a structured environment where the consequences of actions are predictable and reinforces the understanding of acceptable behaviors.
A. Encouraging the client to explore and address underlying emotions, including feelings of fear and inferiority, can be an important aspect of therapy and may help mitigate manipulative behaviors over time.
B. Antisocial personality disorder is associated with behaviors that violate social norms and the rights of others. Positive reinforcement for these behaviors would not address the underlying issues and may inadvertently reinforce harmful patterns of behavior.
D. Ignoring inappropriate behavior may reinforce the notion that manipulation is an effective means of achieving desired outcomes and may lead to further boundary violations.

A. Massage therapy B. Allopathic therapy C. Therapeutic Touch therapy D. Chiropractic therapy

Correct Answer is D

Explanation

D. Chiropractic therapy involves the manual manipulation of the spine to correct vertebral subluxations, which are misalignments or partial dislocations of the vertebrae. Chiropractors use specific techniques to adjust the spine, aiming to restore proper alignment, reduce nerve interference, and improve overall function.

A. Massage therapy can be beneficial for certain musculoskeletal issues and overall wellness but it typically does not involve the manipulation of vertebrae to correct subluxation.
B. Allopathic therapy refers to conventional Western medicine, which includes treatments such as pharmaceutical drugs, surgery, and other interventions aimed at treating diseases or symptoms. Allopathic medicine does not typically involve spinal manipulation for correcting subluxation.
C. Therapeutic Touch is a holistic therapy that involves the practitioner using their hands near the patient's body to detect and manipulate the body's energy field with the goal of promoting healing and relaxation. However, it does not involve direct manipulation of the vertebrae to correct subluxation.

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A severely depressed, sullen client has been taking fluoxetine for 10 days. During the first outpatient visit, the client smiles excitedly and states, "I feel so much better now." How should the nurse interpret this behavior change? The:

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Naxlex Comprehensive Predictor Exams

The intervention appropriate for a client who has been manipulating others and has a diagnosis of antisocial personality disorder is to:

Correct Answer is C

Explanation

The nurse understands that when a practitioner corrects subluxation by manipulating the vertebrae of the spinal column, the practitioner is employing which therapy?

Correct Answer is D

Explanation

During assessment, the nurse is most likely to find the attitude of the depressed client toward his illness to be:

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