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Canadian Psychiatric/Mental Health Nursing Examination - Blogs Sample Questions

What might decrease the absorption of lorazepam?

Correct Answer:
valproic acid

valproic acid, a medication primarily used to treat epilepsy and bipolar disorder, can interfere with the absorption of lorazepam, a benzodiazepine used for anxiety, insomnia, and seizure control. this interaction occurs because valproic acid can modify gastric and liver enzymes that are essential for the metabolism and absorption of various drugs, including lorazepam.

when valproic acid is administered, it may alter the level of enzymes in the liver, particularly those belonging to the cytochrome p450 system, which plays a significant role in drug metabolism. although valproic acid generally inhibits these enzymes, the specific interaction with lorazepam leads to decreased absorption rather than an alteration in metabolism. this means that when both drugs are taken together, the effectiveness of lorazepam could be reduced due to its lower absorption rate.

in contrast, the other substances listed such as barbiturates, antipsychotics, and alcohol do not decrease the absorption of lorazepam but rather tend to increase the central nervous system (cns) depressant effects of lorazepam. this increase in cns depressant effects can lead to enhanced sedation, decreased cognitive function, and other related symptoms, which could be dangerous in certain situations.

therefore, it is crucial to manage the co-administration of lorazepam with valproic acid under the guidance of a healthcare provider. adjustments in dosages or the timing of administration might be necessary to ensure both drugs achieve their intended effects without causing unwanted interactions.

What component of Kolcaba's Theory of Comfort is defined as the optimal functioning of the patient?

Correct Answer:

in katharine kolcaba's theory of comfort, "health" is defined as the optimal functioning of the patient, which is a crucial component of achieving overall comfort. this theory emphasizes that comfort is an integral part of the healthcare process, influencing outcomes such as patient satisfaction, health promotion, and the effectiveness of care.

specifically, the health component within this theory refers to the state where patients experience enhanced well-being through the effective management of their conditions. this includes not only physical health but also encompasses psychological, social, and environmental aspects that contribute to an individual's overall condition. the goal is to reach a state where the patient is functioning at their best possible level, considering their current health situation.

in practical terms, this optimal functioning is achieved through various interventions tailored to address the specific needs of the patient. these might include pain management, emotional support, educational interventions, and environmental adjustments, among others. each of these interventions is aimed at enhancing the patient's health, thus increasing their comfort.

furthermore, the health component of kolcaba's theory involves a dynamic and continuous process of assessment, intervention, and reevaluation to ensure that the patient's health needs are met effectively. this process helps in identifying any gaps in care and allows healthcare providers to adapt their strategies to better suit the patient’s evolving health status.

overall, in kolcaba's theory of comfort, the health component plays a pivotal role by focusing on the patient’s holistic well-being and functioning, aiming for an optimal state that contributes to their overall comfort and satisfaction with the healthcare experience. this perspective encourages a comprehensive approach, considering the multifaceted nature of health and its impact on a patient's quality of life and comfort.

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In your journey to get Canadian Psychiatric/Mental Health Nursing Examination certified it is important for you to have all information related to your exam. So we have pulled together a list of additional blogs that may be of interest to you because that are all related to the Canadian Nursing.

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