An individual is being admitted for psychiatric treatment. The initial role of the nurse regarding this individual's psychopharmacologic therapy is to:

Correct Answer: A

Rationale: Correct Answer: A Rationale: 1. Gathering data to create a baseline assessment is crucial to understanding the individual's medication history and current status. 2. This baseline assessment helps identify potential interactions, allergies, and previous responses to medications. 3. It allows the nurse to make informed decisions regarding the individual's psychopharmacologic therapy. 4. Assessing understanding (B) and evaluating effectiveness (C) are important but come after establishing the baseline assessment. 5. Building a therapeutic relationship (D) is essential but not the initial step in psychopharmacologic therapy.

Correct Answer: C

Rationale: Rationale for Correct Answer C: The nurse's response is correct because there has been some research supporting the use of acupuncture in managing depression post-stroke. Acupuncture is a form of CAM therapy that has shown promising results in improving mental health outcomes for stroke patients. By suggesting acupuncture, the nurse is offering a potential evidence-based solution for the client's post-stroke depression. This response aligns with the client's interests in exploring CAM therapies and provides a feasible option for consideration. Incorrect Answers: A: This answer is incorrect because it states there has been no research on the effectiveness of CAM for depression after strokes, which is misleading as there is research supporting the use of acupuncture. B: This answer is incorrect because it assumes that age-related factors like impaired renal function would automatically preclude the use of CAM therapies, which is not always the case. D: This answer is incorrect because it suggests consulting the physician due to inconclusive research, which may hinder the exploration of potentially beneficial CAM therapies like acupuncture

Correct Answer: A

Rationale: The correct answer is A: Electroconvulsive therapy (ECT). ECT is a somatic therapy that requires a thorough medical evaluation and review by two psychiatrists to determine its appropriateness. It also necessitates being recommended for this therapy, obtaining informed consent, and can be considered safe for pregnant clients. The other choices, B, C, and D, do not require the same level of medical evaluation, review, or recommendation by two psychiatrists. They also may not be considered safe for pregnant individuals, making them less appropriate in this scenario.

Correct Answer: A

Rationale: The correct answer is A: Benzodiazepines. Benzodiazepines enhance GABA activity, which is an inhibitory neurotransmitter in the brain, leading to a calming effect. This class of drugs is commonly used to treat anxiety and insomnia. Explanation for why other choices are incorrect: B: This choice is incorrect because it refers to discontinuing medication when not feeling depressed, which is unrelated to enhancing GABA activity. C: Imipramine is a tricyclic antidepressant that works by affecting serotonin and norepinephrine levels, not GABA. D: Palpitations are a symptom of anxiety or cardiac issues, not related to enhancing GABA activity.

Correct Answer: A

Rationale: Correct Answer: A - Check blood pressure first Rationale: 1. Propranolol is a beta-blocker used for anxiety and hypertension. 2. Before administering Propranolol, it's crucial to check the client's blood pressure, as it can cause hypotension. 3. Monitoring blood pressure helps prevent adverse effects like dizziness, fainting, or decreased perfusion. 4. Fine hand tremor (B) is a potential side effect of Propranolol, but it's not the priority before administration. 5. Headache (C) can be a side effect of Propranolol but is not the primary concern pre-administration. 6. Selective serotonin reuptake inhibitors (SSRIs) (D) are not directly related to the administration of Propranolol for anxiety.