An Asian-American client has been prescribed an antidepressant medication for severe depression. When the nurse prepares discharge teaching topics for this client, which specific information will be included?

Correct Answer: C

Rationale: Step 1: Correct Answer (C) - Some racial and ethnic groups are genetically predisposed to enzyme deficiencies that require medications at lower dosages. Step 2: Explanation - Certain racial and ethnic groups may have genetic variations that affect how they metabolize medications, leading to enzyme deficiencies. This can result in the need for lower dosages to avoid adverse effects. Step 3: Incorrect Choices: A: Incorrect - Stereotyping the Asian culture as resistant to antidepressants is not evidence-based. Compliance is important for all patients regardless of culture. B: Incorrect - Absorption issues related to specific ethnic foods are not a generalized concern for all Asian-Americans taking antidepressants. D: Incorrect - While it is true that antidepressants may take weeks to reach therapeutic levels, the question is asking about specific considerations for an Asian-American client, not a general fact about medication effectiveness.

Correct Answer: C

Rationale: Step-by-step rationale for why choice C is correct: 1. Choice C acknowledges that some CAM therapies have been proven to have a positive impact on mental health conditions. 2. As a nurse, being aware and open to the appropriate use of these therapies can enhance the quality of care provided to mentally ill individuals. 3. By embracing evidence-based practices, the nurse can integrate effective CAM therapies into the treatment plan. 4. It demonstrates a patient-centered approach by considering the potential benefits of CAM therapies for individual clients. 5. This response aligns with the principles of holistic nursing care and evidence-based practice in mental health. Summary: Choice A focuses solely on the client's interest without considering evidence-based practice. Choice B emphasizes the controversial nature of CAM without recognizing its potential benefits. Choice D implies a lack of confidence in CAM therapies without acknowledging their proven efficacy. Choice C stands out for its evidence-based approach and patient-centered care in considering the positive impact of CAM therapies on mental health conditions.

Correct Answer: A

Rationale: Beta blockers are given for anxiety as they help slow heart rate and decrease blood pressure, reducing physical symptoms of anxiety like palpitations and sweating. This is achieved by blocking the effects of adrenaline on the heart and blood vessels. Ataxia, sexual dysfunction, and urinary retention are not typical side effects of beta blockers and are not relevant to their use in treating anxiety.

Correct Answer: A

Rationale: Correct Answer: A Rationale: 1. BuSpar is an anxiolytic medication that may take weeks to reach full effectiveness. 2. Patient education is crucial to manage expectations and ensure compliance. 3. Informing the patient about the delayed onset helps prevent premature discontinuation. Summary: B: Alternative medications - Not relevant to informing the patient before discharge. C: Severe headache - Not a common side effect of BuSpar. D: Urinary retention - Not a common side effect of BuSpar.

Correct Answer: A

Rationale: The correct answer is A: Gastrointestinal disturbances. Celexa (citalopram) is known to commonly cause gastrointestinal side effects such as nausea, diarrhea, and indigestion. This is important for the nurse to inform the patient about to manage expectations and potential discomfort. Choices B, C, and D are incorrect because sexual dysfunction, thyroid function, and tachycardia are not common side effects associated with Celexa. Overall, it is crucial for the nurse to educate the patient on the most common side effects to ensure proper monitoring and management.