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1. Which is the usual age of onset for cyclothymic disorders? a. Childhood b. Adolescence c. Middle adulthood d. Late adulthood: Answer: b. Adolescence Cyclothymic disorders usually begin in ad... olescence or early adulthood. They typically begin later than childhood but earlier than middle or late adulthood. 2. A nurse is caring for a patient with severe depression. After 4 months of treatment, the nurse tells the patient, "Depression is an illness that is beyond a person ' s voluntary control." In which phase of treatment is this an appropriate statement by the nurse? a. Acute phase b. Orientation phase c. Continuation phase d. Maintenance phase: Answer: c. Continuation phase There are three phases of treatment for depression: the acute phase, the continuation phase, and the maintenance phase. After 4 to 9 months of treatment, patients are in the continuation phase, during which they are educated about depression in hopes that they will better adhere to the treatment plan and avoid relapse. Explaining depression is beyond a person's control is an example of this teaching. The other stages of treatment have different goals, such as the acute phase (the initial 12 weeks) in which the patient is given interventions to simply reduce symptoms of depression. The orientation phase is not one of the three phases of the treatment. After 1 year of treatment, patients are typically in the maintenance phase, where they may already be well educated about depression and the treatment focuses on avoiding further complications from relapse of the illness. 3. Which is the recommended starting dose of selective serotonin reuptake inhibitors in older adult patients with depression? a. The lowest adult dose b. The normal adult dose c. Half the lowest adult dose d. Half the normal adult dose: Answer: c. Half the lowest adult dose Older adult patients with depression are frequently prescribed selective serotonin reuptake inhibitors as a first-line treatment. They must be administered half the lowest adult dose to avoid adverse effects from drug accumulation. The lowest adult dose, normal adult dose, and half the normal adult should not be administered to older adult patients. These doses would cause severe toxic effects in older adult patients. [Show More]

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