Hesi Case Study Depression

Section 4 Medications The client signs the treatment form and is admitted to the mental health unit. During the first day hospitalization, she begins antidepressant therapy with fluoxetine 10 mg. Click for Image Question 5 of 30 In what classification of drugs is the antidepressant fluoxetine? Tricyclic. Fluoxetine is not a tricyclic antidepressant. Selective serotonin reuptake inhibitor (SSRI). Fluoxetine is an SSRI antidepressant. Keltner, N., Steele, D. (2019), Psychiatric Nursing (8 edition) St. Louis, Missouri. Elsevier. Pg. 116. Nonbenzodiazepine. Fluoxetine is not an antianxiety or sedative hypnotic nonbenzodiazepine. Atypical. Fluoxetine is not an atypical antipsychotic medication. Meet the Client A client is accompanied to the Emergency Department (ED) by her daughter. The client's grooming an hygiene are fair, but her overall appearance is disheveled. The client's motor activity is slow, she rarely makes eye contact, and her responses to questions are slow and barely audible. When asked what she prefers to be called, she replies that she doesn't care. Important to Know 1. Your first answer is the one that counts towards your score, but you'll be prompted to try again if you get the wrong answer. Wh you get the right answer, you'll go to the mest section. 2. If you choose to re-take a Case Study, you will no longer be able to see your previous some Next Question & of 30 When the client receives fluoxetine, the nurse must explain the purpose and when expect therapeutic effectiveness. What should the nurse tell the client regarding wi will begin to feel less depressed? Generally within 2 to 4 months. Clients will feel effects of the medication sooner than 2 to 4 months Generally within 2 to 4 days. Improvement in maod will not occur this soon. Generally within 1 to 4 weeks. In general, it takes 2 to 4 weeks for antidepressant effects to begin. However, it depends on the individual, and s may feel effects start as soon as I wock or as late as 4 weeks. It is suggested that depression occurs when a deple neurotransmitters in the synapse cause the transmitter receptors to increase. As the antidepressants make more transmitters available, it takes the receptors several weeks to return their numbers back to normal and allow norr synaptic activity. Skidmore-Roth, L. (2021), Mosby's 2021 Nursing Drug Reference. [34th edition) St. Louis, Missouri. Elsevier. Pg Generally within 24 hours of taking the first dose. Improvement in mood will not occur this soon. Question 9 of 30 The nurse should be aware of common side effects of SSRI antidepressants such a fluoxetine. Which side effect should be communicated to the client that commonly in clients who are taking SSRI antidepressants? Blurred vision. Blurred vision is an anticholinergic side effect and are more common with tricyclic antidepressants than with 55 antidepressants. Repetitive muscle movements. Dystonia is repetitive muscle movements which is an extapyramidal side effects and more common with the trad antiprychotic medications. Gastrointestinal disturbances. Gi daturbances such as nausea and diarrhea, as well as genitourinary side effects such as sexual dysfunction, are with SSRIs. SSRIs do not have significant anticholinergic, cardiovascular, or sedative side effects Skidmore Roth, L. (2021). Mosby's 2021 Nursing Drug Reference. (34 edition) St. Louis, Missouri. Elsevier. Pg. Rigid muscles. Neuroleptic malignant syndrome can be fatal. One sign is rigid muscles. It is a serious side effect of antipsychoti medications, and its symptoms include autonomic hyperactivity and musde rigidity. Question 10 of 30 The client also begins an atypical antipsychotic, risperidone, because she reports h a "scary voice" upon admission. Although the client remains very withdrawn and noncommunicative, the nurse must explain the purpose of risperidone. Which explanation is best? Risperidone will help the think more clearly. Antipsychotic medications target symptoms related to disorders of thinking such as psychosis and behaviors asst agitation and disorganization or speech and behavior. Keltner, N., Steele, D. (2019) Psychiatric Nursing (8 edition), St. Louis, Missouri. Elsevier. Pg. 140. Risperidone will help the client sleep better. While the synergistic effects of modications can enhance sleep, this is not the rationale for prescribing an antipsy medication. Risperidone will help the client control impulsive feelings. Antipsychotic medications may indirectly aid in controlling impulsive feelings, but there is a better answer. Risperidone will enhance the effectiveness of the antidepressant. While research supports that atypical antipsychotic medications may enhance effectiveness of antidepressants, th