What common side effects would the nurse inform a patient of who has just been prescribed Celexa?

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.

Correct Answer: A

Rationale: The correct answer is A because lithium has a narrow therapeutic index, meaning the difference between a therapeutic dose and a toxic dose is small. Therefore, it is crucial to carefully consider the dose to avoid subtherapeutic effects or toxicity. Option B is incorrect because it only focuses on the toxicity aspect of lithium, ignoring the importance of therapeutic effects. Option C, Divalproex, is irrelevant to the dosing of lithium. Option D, Tachycardia, is also irrelevant to lithium dosing considerations. It is essential to prioritize the therapeutic index when evaluating the dose of lithium for safe and effective treatment.

Correct Answer: D

Rationale: The correct answer is D) Pathological gambler. Mrs. Wang's behavior exhibits classic signs of pathological gambling, also known as a gambling disorder. Pathological gambling is characterized by a persistent and recurrent maladaptive gambling behavior that leads to significant distress or impairment. Mrs. Wang's preoccupation with gambling, chasing losses, lying about her gambling activities, pawning valuables, and neglecting social relationships are all indicative of a severe gambling problem. Option A) Social gambler refers to individuals who gamble for socialization or entertainment purposes without negative consequences. Mrs. Wang's behavior goes beyond social gambling. Option B) At-risk gambler typically indicates individuals who are on the verge of developing a gambling problem but have not yet met the criteria for a gambling disorder. Mrs. Wang's behavior already meets the criteria for a severe gambling disorder. Option C) Problem gambler refers to individuals with some negative consequences due to gambling but not as severe as those seen in pathological gambling. Mrs. Wang's behavior and its impact on her life are more aligned with a diagnosis of pathological gambling. Educationally, understanding the spectrum of gambling behaviors is crucial for healthcare providers, social workers, and caregivers to identify and intervene early in cases like Mrs. Wang's. Recognizing the severity of the gambling problem can help guide appropriate interventions and support strategies to address the underlying issues contributing to the behavior. It also highlights the importance of a holistic approach to care that considers the psychosocial aspects of individuals facing gambling disorders.

Correct Answer: A

Rationale: The correct answer is A) What to do. In the Mental Health Gap Action Programme Intervention Guide, a detailed description of "what to do" is provided. This includes specific instructions, strategies, and steps to be taken when implementing interventions related to mental health care. Option B) How to do is incorrect because the guide focuses more on the actions to be taken rather than the specific methods or procedures of how to implement those actions. It is more about the "what" rather than the "how." Option C) Why it is done is incorrect as the guide primarily focuses on practical guidance for intervention rather than delving into the theoretical or conceptual underpinnings of why certain actions are taken in mental health care. Option D) Pitfalls to avoid is incorrect because while it is important to be aware of potential pitfalls, the guide emphasizes providing a clear roadmap of actions rather than solely focusing on identifying and avoiding pitfalls. In an educational context, understanding the content of a guide like the Mental Health Gap Action Programme Intervention Guide is crucial for healthcare professionals working in mental health settings. Knowing "what to do" provides a practical foundation for implementing effective interventions and delivering quality care to individuals with mental health needs. It ensures that professionals have a clear understanding of the recommended steps to follow in various scenarios, ultimately improving patient outcomes and overall care quality.

Correct Answer: B

Rationale: In the context of family-centered care, adherence to treatment plans is crucial for positive health outcomes. Option B, "Inadequate follow-up or discharge planning," is the correct answer as it directly impacts a patient's ability to adhere to their care plan. When patients are discharged without clear follow-up instructions or a well-coordinated plan, they may struggle to continue their treatment effectively, leading to non-adherence. Option A, "Treatment of asymptomatic disease," may not necessarily be a barrier to adherence as patients can still adhere to preventive measures even if they are not experiencing symptoms. Option C, "Forgetfulness," while a common issue, is more related to patient factors rather than systemic barriers within the healthcare system. Option D, "Inadequate health insurance," can certainly impact access to care but may not be the primary barrier to a patient's adherence to treatment once they have accessed it. Educationally, understanding these healthcare system barriers is essential for healthcare professionals working within a family-centered care framework. By recognizing and addressing system-level challenges like inadequate follow-up or discharge planning, providers can better support patients and families in maintaining adherence to treatment plans, ultimately improving health outcomes and patient satisfaction.