When asked if complementary and alternative medicine (CAM) therapies have value as nursing interventions for mentally ill individuals the nurse replies:

Correct Answer: C

Rationale: Step-by-step rationale for why choice C is correct: 1. Choice C acknowledges that some CAM therapies have been proven to have a positive impact on mental health conditions. 2. As a nurse, being aware and open to the appropriate use of these therapies can enhance the quality of care provided to mentally ill individuals. 3. By embracing evidence-based practices, the nurse can integrate effective CAM therapies into the treatment plan. 4. It demonstrates a patient-centered approach by considering the potential benefits of CAM therapies for individual clients. 5. This response aligns with the principles of holistic nursing care and evidence-based practice in mental health. Summary: Choice A focuses solely on the client's interest without considering evidence-based practice. Choice B emphasizes the controversial nature of CAM without recognizing its potential benefits. Choice D implies a lack of confidence in CAM therapies without acknowledging their proven efficacy. Choice C stands out for its evidence-based approach and patient-centered care in considering the positive impact of CAM therapies on mental health conditions.

Correct Answer: A

Rationale: Correct Answer: A Rationale: 1. BuSpar is an anxiolytic medication that may take weeks to reach full effectiveness. 2. Patient education is crucial to manage expectations and ensure compliance. 3. Informing the patient about the delayed onset helps prevent premature discontinuation. Summary: B: Alternative medications - Not relevant to informing the patient before discharge. C: Severe headache - Not a common side effect of BuSpar. D: Urinary retention - Not a common side effect of BuSpar.

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: Tricyclic antidepressants (TCAs). TCAs are not frequently used due to their high lethality in overdose. They have a narrow therapeutic index, leading to severe toxicity even at slightly higher doses. In overdose, TCAs can cause life-threatening cardiovascular and central nervous system effects. SSRIs (B) are safer in overdose compared to TCAs. GI upset (C) is a common side effect of many medications, not specifically antidepressants. Divalproex (D) is not an antidepressant medication, but rather a mood stabilizer primarily used in bipolar disorder.

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.