Which statements are true about bupropion? (Select all that apply)
This medication is commonly prescribed to help people sleep
This is a great alternative for clients experiencing sexual dysfunction due to other medications used to treat depression
Some clients take this medication for treatment of depression
This medication can be used to help clients stop smoking
Correct Answer : B,C
Choice A reason: Bupropion is not primarily a sedative; it is an atypical antidepressant that stimulates norepinephrine and dopamine. It may cause insomnia, not promote sleep, making this statement incorrect. Sedative medications like zolpidem are used for sleep, not bupropion, which has activating properties.
Choice B reason: Bupropion has a lower risk of sexual dysfunction compared to SSRIs, making it a suitable alternative for depression treatment in patients experiencing this side effect. Its mechanism avoids serotonin-related sexual issues, supporting its use in such cases, making this a correct choice.
Choice C reason: Bupropion is FDA-approved for major depressive disorder, acting on norepinephrine and dopamine to alleviate depressive symptoms. It is commonly prescribed for depression, making this statement true and a correct choice, as it aligns with its primary clinical use.
Choice D reason: Bupropion, under the brand Zyban, is approved for smoking cessation, as it reduces nicotine cravings and withdrawal symptoms by modulating dopamine pathways. This evidence-based use makes the statement true, correctly identifying bupropion’s role in smoking cessation programs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Silence in group therapy provides space for reflection, allowing members to process emotions and thoughts. This supports therapeutic goals by fostering insight and self-awareness, aligning with psychiatric principles of facilitating emotional processing, making this the correct choice.
Choice B reason: Silence does not encourage immediate verbal responses; it promotes contemplation. Encouraging quick responses may pressure participants, disrupting therapeutic processing, which relies on reflective pauses, making this statement contrary to the therapeutic use of silence and incorrect.
Choice C reason: Using silence to discipline is punitive, not therapeutic. Silence in therapy aims to facilitate reflection, not control behavior, which contradicts psychiatric nursing principles of fostering a supportive environment, making this choice incorrect and non-therapeutic.
Choice D reason: Silence complements, not replaces, active listening. Active listening involves verbal and nonverbal engagement, while silence provides reflective space. Replacing listening with silence undermines therapeutic communication, making this statement incorrect for the role of silence in therapy.
Correct Answer is A
Explanation
Choice A reason: Arranging social services addresses the patient’s eviction, a social determinant of health impacting mental stability. This holistic approach supports recovery by ensuring housing stability, aligning with psychiatric nursing’s focus on comprehensive care, making this the correct choice.
Choice B reason: Contacting the landlord directly exceeds the nurse’s role and may violate privacy. It does not address the patient’s immediate housing needs or mental health, making it less appropriate than coordinating with social services for professional support.
Choice C reason: Questioning the medication reaction’s validity is inappropriate without evidence and distracts from addressing the eviction. It undermines trust and does not support discharge planning, making this choice irrelevant to the patient’s current needs.
Choice D reason: Delaying discharge without clinical justification risks unnecessary hospitalization. The eviction requires social support, not prolonged admission, as mental status improvement is not specified as a concern, making this choice incorrect.
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