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The nurse assesses the speech pattern of the patient’s:

A.

Thought content

B.

Thought process

C.

Affect

Answer and Explanation

The Correct Answer is B

Choice A reason:

Thought content refers to the actual ideas and themes that a person expresses. It includes what the person is thinking about, such as delusions, obsessions, or preoccupations. Assessing thought content involves understanding the specific topics and beliefs the patient discusses.

 

Choice B reason:

Thought process refers to the way in which thoughts are organized and connected. Describing a patient’s speech as hesitant, slow, and with thought blocking indicates issues with the thought process. Thought blocking, where a person’s speech is interrupted by sudden silences, suggests difficulty in maintaining a coherent flow of ideas.

 

Choice C reason:

Affect refers to the observable expression of emotion. It includes the patient’s facial expressions, tone of voice, and body language. While affect can provide clues about a person’s emotional state, it does not directly relate to the organization of their thoughts.

 

Choice D reason:

Mood refers to the patient’s sustained emotional state, such as feeling depressed, anxious, or euphoric. While mood can influence speech patterns, the description of hesitant, slow speech with thought blocking specifically pertains to thought process rather than mood.


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Correct Answer is A

Explanation

Choice A reason:

Duloxetine (Cymbalta) is an SNRI antidepressant commonly used for both chronic pain and depression. It works by increasing the levels of serotonin and norepinephrine in the brain, which helps improve mood and alleviate pain. Duloxetine is often prescribed for conditions such as fibromyalgia, diabetic neuropathy, and chronic musculoskeletal pain, in addition to its use in treating major depressive disorder.

Choice B reason:

Sertraline (Zoloft) is an SSRI antidepressant used primarily to treat depression, anxiety disorders, and other mood disorders. While it is effective for these conditions, it is not specifically indicated for chronic pain management.

Choice C reason:

Fluoxetine (Prozac) is another SSRI antidepressant used to treat depression, anxiety disorders, and certain eating disorders. Like sertraline, it is not typically used for chronic pain management.

Choice D reason:

Citalopram (Celexa) is also an SSRI antidepressant used to treat depression. It is not indicated for chronic pain management and is primarily used to improve mood and alleviate symptoms of depression.

Correct Answer is ["A","C","D"]

Explanation

Choice A reason:

If Mr. Greene has memory retention and a neurological evaluation that has demonstrated understanding of how to follow the sliding scale and recognize proper dosage, use, and potential side effects of insulin, he is a candidate for self-administration. This ensures he can manage his insulin therapy safely and effectively.

Choice B reason:

If Mr. Greene states “I can do it” but has severe hand tremors, he is not a candidate for self-administration of insulin. Severe hand tremors can impair his ability to accurately draw up and administer the correct dose of insulin, increasing the risk of errors.

Choice C reason:

If Mr. Greene demonstrates the ability to self-administer insulin over a period of time successfully using the “Teach Back” method by a number of staff or visiting nurse, he is a candidate for self-administration. The “Teach Back” method confirms that he understands and can perform the procedure correctly.

Choice D reason:

If Mr. Greene no longer is actively suicidal and has hand-eye coordination that is accurate, he is a candidate for self-administration of insulin. Accurate hand-eye coordination is essential for safely drawing up and administering insulin.

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