Why are tricyclic antidepressants infrequently used?

Correct Answer: A

Rationale: The correct answer is A because tricyclic antidepressants have numerous side effects such as dry mouth, constipation, weight gain, and sedation. These side effects can be intolerable for patients, leading to poor adherence. Choices B, C, and D are incorrect because while tricyclic antidepressants can have interactions with other medications, cause cardiac problems, and be lethal in overdose, these factors alone do not fully explain why they are infrequently used compared to other antidepressant options. The primary reason for their limited use lies in their significant side effect profile.

Correct Answer: A

Rationale: The correct answer is A: GI upset. Divalproex is known to cause gastrointestinal (GI) upset as a common side effect, including symptoms like nausea, vomiting, and diarrhea. This is due to its irritant effect on the stomach lining. B: Headache - While headache can be a side effect of some medications, it is not a common side effect of Divalproex. C: Dizziness - Dizziness can occur as a side effect of Divalproex, but it is less common compared to GI upset. D: Weight gain - Weight gain is a known side effect of Divalproex, but it is not as common as GI upset. Weight gain typically occurs over time with long-term use.

Correct Answer: C

Rationale: In this scenario, option C, which advises berating the patient for his lack of self-control, is incorrect. It is crucial in family health nursing care to maintain a supportive and non-judgmental approach when addressing sensitive issues like gambling addiction. Berating the patient can lead to feelings of shame and resistance to seeking help, ultimately hindering the therapeutic relationship and the patient's willingness to engage in treatment. Options A, B, and D are the appropriate steps to take in this situation. Option A advises on limiting the money spent when gambling, which is essential in managing the financial impact of gambling addiction. Option B suggests reducing the time and days spent gambling, which can help the patient gain more control over their impulses. Option D discourages the notion of gambling as a means of making money, which is crucial in addressing distorted beliefs about gambling that can perpetuate addiction. Educationally, it is vital for healthcare providers to approach patients with addictions, such as gambling, with empathy, respect, and evidence-based interventions. By understanding the complexities of addiction and offering non-judgmental support, healthcare professionals can help patients navigate towards recovery effectively. It is crucial to prioritize patient-centered care, empowerment, and collaboration in addressing addiction issues in a healthcare setting.

Correct Answer: A

Rationale: In the context of family health nursing care, understanding cultural perceptions of body image is crucial for providing effective care. The correct answer, option A) African American women, is least likely to perceive themselves as overweight due to cultural norms and ideals of beauty that may differ from mainstream Western standards. In many African American communities, curvier body types are often celebrated and considered attractive, leading women to have a different perception of weight compared to other groups. Option B) Caucasian women may be more likely to perceive themselves as overweight due to societal pressure to adhere to thinness as a beauty standard, which can influence body image perceptions. Option C) Asian women may also be more prone to perceiving themselves as overweight due to cultural emphasis on petite body sizes in some Asian cultures. Option D) Native American women may have varied perceptions based on tribal traditions and modern influences, making it less predictable compared to the other groups listed. Educationally, this question highlights the importance of cultural competence in nursing practice. Nurses must be aware of how different cultural backgrounds can shape individuals' perceptions of health, body image, and well-being. By understanding these nuances, nurses can provide more personalized and sensitive care to diverse populations, ultimately leading to better health outcomes and patient satisfaction.

Correct Answer: C

Rationale: The most effective approach to helping patients with type 2 diabetes lose weight is option C) Suggest substituting healthy ingredients for meals and snacks based on the patient's cultural heritage and personal preferences. This approach is person-centered and takes into account the individual's cultural background and food preferences, making it more likely for the patient to adhere to the dietary recommendations. Option A is incorrect as advocating for a standardized 1800-calorie diet for all patients does not consider individual variability in nutritional needs and preferences. Option B, while recommending daily exercise and decreased food intake, lacks the specificity and personalization that option C offers. Option D, referring patients to a dietitian for all inquiries, may not empower patients to make sustainable changes themselves. In an educational context, it is crucial for healthcare providers to understand the importance of personalized care when managing chronic conditions like type 2 diabetes. By considering cultural backgrounds and personal preferences, healthcare professionals can create tailored interventions that are more likely to be successful in promoting behavior change and improving health outcomes.