The home health nurse is informed by her patient that she is taking a herbal over-the-counter medication. What action should the nurse take with this information?

Correct Answer: B

Rationale: In the context of the Behavioral Theory of Mental Health, the correct answer is B) The nurse should document this information and add it to the patient's medication list and notify the charge nurse of the change. This action aligns with person-centered care, respecting the patient's autonomy and choices regarding their health. Option A is incorrect because even though the information may not be part of the formal medication record, it is crucial for the nurse to be aware of all substances the patient is taking to ensure holistic care. Option C is incorrect as it delays necessary action. While researching the benefits is important, immediate documentation and communication within the healthcare team are critical. Option D is incorrect as it undermines the patient's autonomy and may lead to breakdown of trust in the nurse-patient relationship. It is essential to provide non-judgmental and factual information about herbal medications rather than making blanket statements. In an educational context, this question highlights the importance of holistic assessment in mental health care, respecting patient choices, effective communication within the healthcare team, and the significance of documentation for continuity of care and patient safety.

Correct Answer: C

Rationale: In the context of the Behavioral Theory of Mental Health, it is crucial to understand the mental health needs of unhoused and displaced persons. Option C, elevated rates of depression, anxiety, and trauma-related disorders, is the correct answer. Unhoused individuals often face significant challenges such as exposure to violence, lack of stable housing, social isolation, and limited access to resources, which can contribute to the development of mental health issues. Option A, low rates of mental health issues due to resilience, is incorrect because while resilience can be a protective factor, it does not negate the impact of chronic stressors associated with homelessness. Option B, frequent access to mental health care, is also incorrect as unhoused individuals often face barriers to accessing mental health services such as lack of insurance, transportation, and stigma. Option D, exclusive focus on physical health needs, is incorrect as mental health is a crucial aspect of overall well-being that must be addressed in holistic care for unhoused individuals. By recognizing the high prevalence of mental health issues among this population, mental health professionals and service providers can tailor interventions to effectively support their needs and promote recovery and stability. Understanding the mental health needs of unhoused individuals through the lens of behavioral theory can guide interventions that address underlying factors contributing to their mental health challenges.

Correct Answer: B

Rationale: Often, reports in the media regarding new research and studies are confusing, contradictory, or difficult for clients and their families to understand. The nurse must ensure that clients and families are well informed about progress in these areas and must also help them to distinguish between facts and hypotheses. The nurse can explain if or how new research may affect a client's treatment or prognosis.

Correct Answer: B

Rationale: In the context of the Behavioral Theory of Mental Health, the preferred antidepressant drug for clients at high risk of suicide is Sertraline (Zoloft). Sertraline belongs to the class of selective serotonin reuptake inhibitors (SSRIs), which are considered safer in overdose situations compared to other classes of antidepressants. This safety profile is crucial for individuals at high risk of suicide as it reduces the risk of severe toxicity in case of overdose. Tranylcypromine (Parnate), Imipramine (Tofranil), and Amitriptyline (Elavil) are not preferred for clients at high risk of suicide due to their higher potential for toxicity in overdose situations. Tranylcypromine is a monoamine oxidase inhibitor (MAOI) and carries a risk of hypertensive crisis if taken with certain foods or medications. Imipramine and Amitriptyline are tricyclic antidepressants that have a narrower therapeutic index and are associated with more severe side effects and toxicity in overdose compared to SSRIs like Sertraline. In an educational context, understanding the rationale behind choosing a specific antidepressant for clients at high risk of suicide is crucial for mental health professionals. It highlights the importance of considering not only the efficacy of the drug but also its safety profile, especially in vulnerable populations. This knowledge can guide healthcare providers in making informed decisions to optimize patient safety and treatment outcomes in the management of mental health conditions.

Correct Answer: C

Rationale: The correct answer is C) Atomoxetine (Strattera). Atomoxetine is the first nonstimulant medication specifically designed and tested for ADHD. It works by increasing the levels of norepinephrine in the brain, which helps with ADHD symptoms. Option A) Methylphenidate (Ritalin) and B) Amphetamine (Adderall) are stimulant medications commonly used to treat ADHD but are not the first nonstimulant medication designed for ADHD. Option D) Lisdexamfetamine (Vyvanse) is a prodrug stimulant medication, not a nonstimulant like Atomoxetine. Educationally, understanding the different types of medications used to treat ADHD is crucial for healthcare professionals working with individuals with ADHD. Knowing the specific mechanisms of action, side effects, and efficacy of each type of medication allows for personalized treatment plans to be developed for each patient. This knowledge ensures that patients receive the most effective and appropriate medication for their ADHD symptoms.