Wednesday, May 18, 2011

NCLEX Exam Practice Question of the Week - 05/18/11

Elsevier NCLEX Exam Review

Question: When talking with a client who has been receiving paroxetine (Paxil), the nurse identifies that more clarification is needed when the client states:

1. "I will be a little drowsy in the mornings."
2. "I'm expecting to feel somewhat better but I may need other therapy."
3. "I've been on the medication for 8 days now and I don't feel any better."
4. "I know I will probably have to take this medication for several months."

Answer: 3

Rationale: This is too short a period of time to expect a therapeutic response to an antidepressant; clients usually begin to feel a lightening of depression in approximately 14 to 20 days, with the full antidepressant effects being felt between 3 and 4 weeks. Drowsiness, fatigue, and insomnia are common side effects. Medication alone may not be effective; some form of psychotherapy often is needed. Clients usually remain on these medications for several months.

Clinical Area: Mental Health Nursing
Client Need: Pharmacological and Parenteral Therapies
Cognitive Level: Application
Integrated Process: Teaching/Learning
Nursing Process: Evaluation


This week’s NCLEX exam practice question came from:
Nugent: Mosby's Review Questions for the NCLEX-RN Exam, 7th edition, Chapter 3 Pg 240 Question 460


Check out other great NCLEX exam review resources from Elsevier!

1 comment:

  1. Hi,
    Nice post. Do you need any MCAT questions and NCLEX questions discussing answer? You can share test prep and practice questions and answers with other members of the community.
    Thanks.

    ReplyDelete