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Jermaine Jones v_sim including feedback log
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Jermaine Jones VSimA patient diagnosed with depression talks to the nurse about death and making funeral
arrangements. Which of the following nursing interventions should be implemented first
for this patient? - Ask patient about a suicide plan.
The nurse is reviewing medications for a patient with depression. Which of the following
drug combinations can put the patient at risk for severe convulsions and death? -
Isocarboxazid and desipramine
The nurse is completing an assessment for a patient who has been diagnosed with
major depression. Which of the following characteristics, reported by the patient, best
support this diagnosis? (Select all that apply.) - Difficulty concentrating
Feelings of hopelessness
Loss of interest in usual activities
The nurse is providing education to a patient who takes an MAOI for depression. Which
of the following foods should the patient avoid? (Select all that apply.) - - avocados
-salami
-broccoli
A patient comes to the clinic 5 days after starting on an antidepressant. The patient
asks, "When will I start feeling better?" Patient education for this patient would include
which of the following statements? - It can take up to 4 weeks before feeling the effects
of antidepressants.
Which of the following information is correct regarding SSRIs? - Patients taking SSRIs
are at an increased risk of suicidal behavior.
A patient is newly diagnosed with depression. In determining the selection of a
medication to treat the patient, the healthcare provider wants to select a medication with
the least side effects. Which of the following medications would be the best choice of
treatment for this patient? - Fluoxetine
A patient presents at the clinic with complaints of insomnia, loss of appetite, lack of
energy for the last 3 weeks, and feelings of worthlessness. The nurse asks if the patient
is feeling depressed. Which of the following statements best describes the rationale for
the nurse's question? - The reported combination of signs and symptoms are
characteristic of clinical depression.
A patient with a history of a cardiac disorder has been diagnosed with depression.
Which of the following antidepressant agents is contraindicated for this patient? -
Clomipramine
, A patient taking escitalopram for depression arrives in the emergency room with
vomiting, diarrhea, muscle spasms, and restlessness. The patient's heart rate is 122
bpm and the temperature is 101.2°F (38.4°C). The patient is diaphoretic. The patient
reports that the symptoms started approximately 2 hours after taking the first dose of
escitalopram. The patient reports treating the depression with St. John's wort prior to
being prescribed escitalopram. Which of the following drug classifications would most
likely be prescribed to treat the cause of this patient's symptoms? - Serotonin blocker
Jermaine Jones - 1. introduced self, washed hands
2. identified patient
3. took vitals (temp, pulse, respirations, o2, bp)
4. assessed consciousness
5. asked about medication (alcohol consumption, otc pills
6. asked about appetite, thoughts, interests
7. educated patient on drug interactions
8. phoned provider
9. patient handoff
Serotonin blocker - This level is considered positive.
At the beginning of the scenario, Mr. Jones is drowsy, but able to be aroused. He is
oriented to person and place, but not to time, so he is slightly confused. His speech is
slurred, but he can answer questions coherently. His eyes open to verbal command,
and he is able to follow instructions and move all extremities. Which of the following
Glasgow Coma Scale totals would reflect Mr. Jones's presenting signs and symptoms?
- 13
Which of the following statements identifies why Jermaine Jones may be at higher risk
for the adverse effects of benzodiazepines? - Some African Americans are genetically
predisposed to delayed metabolism of benzodiazepines.
You are conducting discharge teaching for Jermaine Jones related to the cause of his
decreased level of consciousness. Which of the following statements by Jermaine
Jones indicates that he understands the consequences of his actions? (Select all that
apply.) - - I should not have taken the medication prescribed for my wife.
- Drinking alcohol and taking the medications was a bad idea.
It will be important to reconcile Jermaine Jones's medications prior to discharge. What is
the purpose of this process? (Select all that apply.) - -Compare current medications to
all medications taken
-Provide a complete list of new medications
-Avoid possible drug interactions
-Avoid possible drug interactions
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