For patients with bipolar disorder, valproate anticonvulsants are likely to help control rapid-cycling episodes by
a. inhibition of kindling activity in the brain.
b. decreasing availability of norepinephrine.
c. increasing dopamine levels at synapses.
d. decreasing GABA metabolism.
A
The effectiveness of valproate anticonvulsants for management of bipolar disorder may be related to inhibition of kindling activity, which stabilizes neuronal activity and increases the threshold of stimulation necessary for cell firing. There is no current research to support any of the other options.
You might also like to view...
A client with bipolar disorder is being seen for a follow up appointment in the mental health clinic. The client asks the nurse why she is asked the same questions with each visit
Which of the following is the most appropriate response from the nurse? 1. "Does it bother you to have to answer the same questions with each visit?" 2. "It is important to keep your plan of care up to date. This is why you are asked the same questions at each visit." 3. "We don't share information with others because of HIPAA regulations." 4. "I will have the doctor address this question for you."
Suicide is attempted three times more frequently by ____ but is more often successfully completed by ____
a. Adult men, women b. Adult women, men c. Adult fathers, mothers d. Adolescent mothers, fathers
A nurse caring for a patient receiving heparin therapy notes that the patient has a heart rate of 98 beats per minute and a blood pressure of 110/72 mm Hg. The patient's fingertips are purplish in color
A stat CBC shows a platelet count of less than 100,000 mm3 . The nurse will: a. administer oxygen and notify the provid-er. b. discontinue the heparin and notify the provider. c. request an order for protamine sulfate. d. request an order for vitamin K (phytona-dione).
The nurse is assisting a female client with mental illness in developing a mental health literacy plan to help:
A) Strengthen the client's emotional quotient B) Encourage the client to improve family attachments C) Help the client to alleviate symptoms if future problems develop D) Provide the client a sense of control over personal well-being