For which patient would it be most important for the nurse to urge immediate discontinuation of kava? A patient with a comorbid diagnosis of

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Correct Answer: B

Rationale: The correct step in Dell'Osso et al.'s framework is Medication education (B). This step involves providing patients with comprehensive information about their medications, including purpose, dosage, side effects, and importance of adherence. It is crucial in promoting understanding and acceptance of the prescribed treatment. Diagnosis (A) is not a step in the adherence framework but rather identifies the patient's condition. Monitoring plan (C) involves tracking adherence but is not the step being defined. Adherence reinforcement (D) comes after education and refers to strategies to maintain adherence, making it incorrect in this context.

Correct Answer: A

Rationale: The correct answer is A: Frontal lobe. Asterogenesis is the inability to recognize familiar objects by touch. Damage to the frontal lobe can disrupt sensory integration and impair perception. The frontal lobe is responsible for higher cognitive functions, including problem-solving, judgment, and decision-making. Damage to the temporal, parietal, or occipital lobes would not directly affect tactile object recognition.

Correct Answer: C

Rationale: The correct answer is C: The dosage should not exceed ½ of the usual recommended dose. Vortioxetine is primarily metabolized by the CYP2D6 enzyme. In poor 2D6 metabolizers, the metabolism of vortioxetine is significantly reduced, leading to higher drug levels in the body. Therefore, to prevent potential adverse effects or toxicity, the dosage should be reduced to avoid exceeding the usual recommended dose. A: The dosage of the drug will need to be increased - Incorrect. Due to reduced metabolism in poor 2D6 metabolizers, increasing the dosage would lead to higher drug levels and increased risk of adverse effects. B: The dosage needs to begin at half then increase over a 2-week period - Incorrect. Starting at half the dose is not sufficient for poor metabolizers as they may still experience increased drug levels. D: An adjunct medication will need to be prescribed until the dosage can be reduced - Incorrect. Adding another medication is not necessary

Correct Answer: D

Rationale: The correct answer is D: Sulfamide. Sulfamide is an enzyme inhibitor that works by blocking the activity of specific enzymes, interfering with their function. This disrupts the normal biochemical processes in the body. A, Sulfaurea, is a medication used to treat diabetes by stimulating insulin release and is not an enzyme inhibitor. B, Smoking, is not an enzyme inhibitor but rather a harmful habit that can lead to various health issues. C, Rifampin, is an antibiotic that works by inhibiting bacterial RNA synthesis, not by directly inhibiting enzymes in the body. In summary, Sulfamide is the correct answer as it directly inhibits enzyme activity, whereas the other choices do not function in the same way.