A patient tells the nurse, My doctor prescribed paroxetine for my depression. I assume I™ll have side effects like I had when I was taking imipramine. The nurse™s reply should be based on the knowledge that paroxetine is a(n)

Correct Answer: D

Rationale: The correct answer is D: SSRI. Paroxetine is a selective serotonin reuptake inhibitor (SSRI), which works by increasing serotonin levels in the brain. This is different from imipramine, a tricyclic antidepressant. SSRIs like paroxetine are known for having different side effect profiles compared to tricyclic antidepressants. Selective norepinephrine reuptake inhibitors and MAO inhibitors are different classes of antidepressants with distinct mechanisms of action compared to paroxetine. Therefore, the nurse should inform the patient that paroxetine is an SSRI and may have different side effects compared to imipramine.

Correct Answer: B

Rationale: The correct answer is B: orthostatic hypotension. Blocking norepinephrine from binding to α1 receptors would prevent vasoconstriction, leading to decreased blood pressure upon standing (orthostatic hypotension). Hypertensive crisis (A) would be more likely if norepinephrine was acting on α1 receptors causing vasoconstriction. Severe appetite disturbance (C) and an increase in psychotic symptoms (D) are not directly related to blocking norepinephrine from binding to α1 receptors.

Correct Answer: B

Rationale: Correct Answer: B (Valproate) Rationale: 1. Valproate is an antiepileptic drug, like carbamazepine, lamotrigine, and gabapentin. 2. All medications listed are commonly used to treat epilepsy and various seizure disorders. 3. Galantamine, Buspirone, and Tacrine are not antiepileptic drugs and do not belong to the same group. 4. Valproate shares similar mechanisms of action and indications with the medications in the group. Summary: Valproate is the correct answer as it shares the same therapeutic class and indications as carbamazepine, lamotrigine, and gabapentin. Galantamine, Buspirone, and Tacrine do not belong to this group and are used for different purposes.

Correct Answer: A

Rationale: The correct answer is A because it addresses the safety concern of the individual experiencing sleep deprivation. Driving while sleep-deprived can lead to serious accidents due to impaired cognitive function and reaction time. It is crucial to prioritize safety by limiting driving to short periods to prevent accidents. Choice B is incorrect as sleep deprivation should not be left untreated for a year. Choice C may help some individuals relax but does not address the safety issue of driving while sleep-deprived. Choice D is inappropriate as alcohol consumption can worsen sleep quality and is not a recommended solution for addressing sleep deprivation.

Correct Answer: B

Rationale: Correct Answer: B Rationale: 1. During the sleep cycle, REM (Rapid Eye Movement) sleep stages become longer in the second half of the night. 2. Dreams predominantly occur during REM sleep, which is associated with vivid dreaming. 3. As the person wakes up from REM sleep, they are more likely to remember the dreams they were having. 4. Feeling like one has been dreaming just before waking up aligns with the longer REM periods in the latter part of the sleep cycle. Summary: A: Incorrect - Slow-wave sleep increases towards the beginning of the sleep cycle, not at the end. C: Incorrect - Dream frequency is not solely based on unresolved conflicts or depression. D: Incorrect - Dream content related to developmental tasks does not explain the feeling of dreaming just before waking up.