The As A Priority Assessment

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As a priority assessment, the nurse should ask Anna what the voice is saying to her. It is

important to address what the voice is saying because it could be a command hallucination. As a

nurse, it is important to address if it is a command hallucination because it is an auditory

hallucination that can instruct Anna to do something dangerous or even life threatening. It is

important that the voice isn’t telling Anna to harm herself because depression is already a risk

factor for suicidal intention.

What other questions might the nurse ask during Anna’s assessment interview?

It is important to ask Anna what medications she may or currently be on because

medications have different side effects and certain medications can create
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In addition, Anna also fits the

social support category because she is a widow and her daughter lives out of town. Furthermore,

Anna is also a widow, which fits in with the N category. Overall, I would classify Anna as being

in the 5-6-point category and I would strongly consider hospitalization.

Which of Anna’s behavior is inconsistent with depression?

Anna hearing the man’s voice is inconsistent with depression. The signs and symptoms of

depression do not include hearing voices. If the client (Anna) refuses treatment, list two behaviors that might justify short-term

involuntary treatment?

One behavior that might justify short-term involuntary treatment is if Anna states that she

a plan to harm herself. It is important to protect her life and to prevent her from harming herself.

Another behavior that might justify short-term involuntary treatment is if Anna is unable to meet

basic self-care needs. It is essential to ensure Anna is not jeopardizing her health.

In what classification of drugs is the antidepressant fluoxetine (Prozac)?

Fluoxetine (Prozac) is a selective serotonin reuptake inhibitor (SSRI). It is an

antidepressant medication.

What is the major action of SSRI antidepressants?

The major action of SSRI antidepressants are that they increase the availability of

serotonin in the body.

What is the rationale behind the change in this treatment modality?

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