What is the primary therapeutic use of Prozac?

Treatment of anxiety disorders

Treatment of schizophrenia

Treatment of depression

Treatment of bipolar disorder

Answer and Explanation

The Correct Answer is C

A.   Prozac is sometimes used to treat certain anxiety disorders, such as obsessive-compulsive disorder (OCD) and panic disorder, its primary indication is not for anxiety.
B.   Prozac is not used to treat schizophrenia. Schizophrenia is a complex mental disorder that is usually managed with antipsychotic medications. Prozac, as an SSRI, does not address the primary symptoms of schizophrenia, such as delusions and hallucinations.
C.   Prozac is primarily prescribed for the treatment of major depressive disorder (MDD). It is one of the most commonly used SSRIs for managing depression. The medication works by increasing levels of serotonin in the brain, which can help improve mood and alleviate symptoms of depression.
D.   Prozac is not typically used as the primary treatment for bipolar disorder. While it may be used in combination with mood stabilizers for managing depressive episodes in bipolar disorder, it is not used alone due to the risk of potentially triggering manic episodes.

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Correct Answer is D

Explanation

A. Visual disturbances are not a common side effect of ECT. The more typical side effects of ECT include temporary memory loss, confusion, or headache. The patient should be informed about these potential side effects, but visual disturbances are not specifically associated with ECT.
B. Hydration is important for overall health, but it is not a specific requirement for ECT preparation. The primary preparation involves fasting, as patients are usually required to fast for several hours before the procedure to minimize the risk of aspiration during the treatment, as ECT is performed under anesthesia.
C. Incontinence is not a typical concern with ECT. The procedure itself does not usually result in incontinence. The focus should be more on preparing for potential side effects like temporary confusion
or memory issues, rather than concerns about incontinence. Therefore, this advice is not relevant for ECT preparation.
D. ECT involves the use of anesthesia, and patients should not drive themselves to or from the appointment due to the effects of anesthesia and the potential for temporary disorientation. Arranging for transportation ensures the patient’s safety and compliance with post-treatment care instructions.

A. Place wrist restraints on the client to prevent psychomotor agitation. B. Explain to the client why her behavior is inappropriate. C. Move the client to a seclusion room D. Tell the client when he will return and leave the room.

Correct Answer is D

Explanation

A. This is an inappropriate and potentially harmful response. Restraints should be used as a last resort and only under specific circumstances. In this case, they are not necessary and could escalate the situation.
B. Attempting to reason with an agitated client is unlikely to be effective and could further escalate the situation.
C. Seclusion should be used as a last resort and only under specific circumstances. In this case, it is not necessary and could increase the client's agitation and sense of isolation.
D. This is the most appropriate response as it sets a clear boundary, gives the client time to calm down, and allows the nurse to return when the situation is more stable.

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What is the primary therapeutic use of Prozac?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What should the nurse preparing a patient for a scheduled appointment for electroconvulsive therapy (ECT) remind the patient to do?

Correct Answer is D

Explanation

A nurse is preparing to change the dressing on the lower leg of an older adult client who is in a wheelchair, and has a history of maladaptive coping skills. The client begins swearing at and verbally abusing the nurse. Which of the following actions should the nurse to take?

Correct Answer is D

Explanation

In the early 20th century, a frontal lobotomy was a common treatment for violent behaviors. Which descriptions procedure is accurate?

What is the primary focus of mental health promotion programs?

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Which of the following is a characteristic of the manic stage of bipolar disorder?

A client is depressed and has attempted suicide tells the nurse, "I should have died because I am totally worthless which of t responses should the nurse make?