Which somatic therapy requires a medical evaluation, review or prior care by two psychiatrists and the need to be recommended for this therapy, informed consent, and can be appropriate for clients who are pregnant?

Correct Answer: A

Rationale: The correct answer is A: Electroconvulsive therapy (ECT). ECT is a somatic therapy that requires a thorough medical evaluation and review by two psychiatrists to determine its appropriateness. It also necessitates being recommended for this therapy, obtaining informed consent, and can be considered safe for pregnant clients. The other choices, B, C, and D, do not require the same level of medical evaluation, review, or recommendation by two psychiatrists. They also may not be considered safe for pregnant individuals, making them less appropriate in this scenario.

Correct Answer: A

Rationale: Correct Answer: A - Check blood pressure first Rationale: 1. Propranolol is a beta-blocker used for anxiety and hypertension. 2. Before administering Propranolol, it's crucial to check the client's blood pressure, as it can cause hypotension. 3. Monitoring blood pressure helps prevent adverse effects like dizziness, fainting, or decreased perfusion. 4. Fine hand tremor (B) is a potential side effect of Propranolol, but it's not the priority before administration. 5. Headache (C) can be a side effect of Propranolol but is not the primary concern pre-administration. 6. Selective serotonin reuptake inhibitors (SSRIs) (D) are not directly related to the administration of Propranolol for anxiety.

Correct Answer: A

Rationale: The correct answer is A: Tricyclic antidepressants (TCAs). TCAs block the reuptake of serotonin and norepinephrine at the presynaptic membrane, increasing their availability in the synaptic cleft. This mechanism helps alleviate symptoms of depression. Tachycardia and explosive occipital headache are not types of antidepressants but potential side effects of some medications, including TCAs. Tachycardia is a rapid heart rate, and explosive occipital headache refers to a sudden severe headache at the back of the head. Therefore, choices B, C, and D are incorrect as they are not antidepressants or related to the mechanism of action described in the question.

Correct Answer: A

Rationale: The correct answer is A: Increased BP. In a hypertensive crisis, the most prominent warning sign is a sudden and severe increase in blood pressure, which can lead to serious complications such as organ damage or stroke. Palpitations and severe headache may occur as symptoms but are not specific warning signs of a hypertensive crisis. Selective serotonin reuptake inhibitors (SSRIs) are not related to the warning signs of a hypertensive crisis. Thus, increased BP is the most crucial indicator to identify and address promptly.

Correct Answer: A

Rationale: The correct answer is A because Divalproex (Depakote) can be toxic to the liver. This is important to note as it can lead to liver damage and liver function tests should be monitored regularly. Choice B, lethal in overdose, is incorrect as while overdose can be serious, it is not specifically lethal. Choice C, contraindicated in the first trimester of pregnancy, is also incorrect as Divalproex is actually known to be used for certain seizure disorders during pregnancy. Choice D, palpitations, is unrelated to the medication's primary side effects.