Cabot has multiple symptoms of depression including mood reactivity, social phobia, anxiety, and overeating. With a history of mild hypertension, which classification of antidepressants dispensed as a transdermal patch would be a safe medication?

Correct Answer: D

Rationale: Rationale: The correct answer is D, Monoamine oxidase inhibitor. MAOIs are safe for patients with mild hypertension as they do not have adverse effects on blood pressure. Additionally, MAOIs are known to be effective in treating symptoms of depression, anxiety, and overeating, which are present in Cabot's case. Tricyclic antidepressants (A) can have cardiovascular side effects, SSRIs (B) can cause weight gain, and SNRIs (C) may increase blood pressure. MAOIs are the safest option considering Cabot's symptoms and medical history.

Correct Answer: B

Rationale: The correct answer is B because ileostomy typically drains liquid continuously due to the high fluid content of the small intestine. This statement indicates the client understands the normal function of their stoma. A is incorrect because medications for ileostomy patients are usually not enteric coated. C is incorrect because pouch system change frequency varies, often daily or every few days, not every two weeks. D is incorrect because the stoma will change in size during the healing process.

Correct Answer: B

Rationale: The correct answer is B, "I find that hard to believe." This statement demonstrates the therapeutic communication technique of voicing doubt by expressing skepticism in a non-confrontational manner. It allows the client to further elaborate on their thoughts and feelings, fostering open communication and exploration of underlying issues. Choice A paraphrases the client's statement, choice C assumes the client's feelings, and choice D shifts the focus to finding a solution rather than exploring the client's perspective.

Correct Answer: D

Rationale: The correct answer is D: Fulfilling relationships. Patients with intense and unstable relationships, idealization, devaluation, and feelings of emptiness likely have traits of borderline personality disorder. Developing fulfilling relationships is crucial in managing this disorder. It helps improve emotional stability, self-esteem, and coping skills. Effective work, communication skills, and productive activities are important but may not directly address the core issues of relationship instability and emotional dysregulation seen in this patient population.

Correct Answer: C

Rationale: The correct answer is C: Identifying the underlying beliefs. In cognitive behavior therapy, identifying the underlying beliefs is crucial as they drive the patient's thoughts and behaviors. By focusing on these core beliefs first, the nurse can help the patient understand the root causes of their issues and work towards challenging and modifying them effectively. A: Identifying alternative explanations of an event - This step usually comes after identifying the underlying beliefs. B: Exploring evidence to support or refute the beliefs - This step comes after identifying the beliefs and is not the initial focus. D: Examining the real implications if the beliefs are true - This step is important but is typically addressed after identifying and working on the underlying beliefs.