09-05-2011, 02:49 PM
some easy questions to make you feel better. i think you guys are doing really well with ur discussion. hays try not to change ur answer, stick with your first impression 
A 72-year-old woman whom you have known for many years presents for evaluation. Her health has been excellent. Six weeks ago, her husband died after a long battle with chronic liver disease. She and her husband were very close and greatly enjoyed their life together. She is very concerned that she frequently wakes at night hearing her husband’s voice coming from the bedroom in which he died. She goes to the room to check “knowing that he won’t be there.” Each day she has waves of sadness and thoughts of her husband accompanied by sighing and decreased energy. However, she has been cooking her meals, visiting friends, and going to her bridge club where she “won a few hands.” She is concerned about “hearing voices” and wonders if she “must be crazy.”
Which of following is the most appropriate action to take at this time?
(A) Start haloperidol, 1 mg at bedtime.
(B) Tell her that her symptoms are a part of normal grieving.
© Start paroxetine, 10 mg daily.
(D) Start amitriptyline, 25 mg at bedtime.
(E) Refer her to psychologist for counseling.
A 72-year-old woman whom you have known for many years presents for evaluation. Her health has been excellent. Six weeks ago, her husband died after a long battle with chronic liver disease. She and her husband were very close and greatly enjoyed their life together. She is very concerned that she frequently wakes at night hearing her husband’s voice coming from the bedroom in which he died. She goes to the room to check “knowing that he won’t be there.” Each day she has waves of sadness and thoughts of her husband accompanied by sighing and decreased energy. However, she has been cooking her meals, visiting friends, and going to her bridge club where she “won a few hands.” She is concerned about “hearing voices” and wonders if she “must be crazy.”
Which of following is the most appropriate action to take at this time?
(A) Start haloperidol, 1 mg at bedtime.
(B) Tell her that her symptoms are a part of normal grieving.
© Start paroxetine, 10 mg daily.
(D) Start amitriptyline, 25 mg at bedtime.
(E) Refer her to psychologist for counseling.