A 40-year-old patient experiencing periods of mania and periods of depression would most likely benefit from which of the following?
1. Atomoxetine (Strattera)
2. Amitriptyline (Elavil)
3. Methylphenidate (Ritalin)
4. Lithium (Eskalith)
Correct Answer: 4
Rationale: Lithium is the primary drug for treating bipolar disorder. Methylphenidate and atomoxetine are indicated for ADHD. Amitriptyline is indicated for depression.
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A client who grew up with alcoholic parents is reluctant to discuss thoughts, feelings, and self-defeating behaviors with the nurse. Which of the following responses by the nurse would be most helpful?
1. "We don't have to talk about your feelings if you don't want to. Let's discuss the behaviors you would like to change." 2. "Some clients who were raised in alcoholic families are reluctant to discuss their feelings. How has this impacted you?" 3. "I understand that you are not used to discussing your feelings; however, we can't continue unless you open up to me." 4. "I understand that opening up to others is difficult for you, but you need to change your view about discussing family issues with me."
A client with fibrocystic breast disease has been receiving treatment with danazol (Danocrine) therapy for the past 6 months
In anticipation of the drug being discontinued, the nurse instructs the client to inform the healthcare provider about which of the following? A) Nausea or vomiting occurring beyond 9 days after discontinuing the drug B) Inability to sleep after discontinuing the drug C) Constipation occurring 90 days after discontinuing the drug D) Lack of return of regular menses within 90 days after discontinuing the drug
The nurse is caring for a 14-month-old girl following a myelomeningocele repair. The girl's mother is extremely anxious and tells the nurse she is afraid she will never learn how to care for her daughter at home. How should the nurse respond?
A) "I will help you become very comfortable providing your daughter's care." B) "You must learn how to care for your daughter at home." C) "You will need to learn to collaborate with all the caregivers." D) "There is a lot to learn and you need a positive attitude."
A nurse is planning preoperative teaching for a child scheduled to have a tonsillectomy. The child has a history of attention deficit hyperactivity disorder (ADHD). The nurse uses which of the following teaching techniques with this child?
1. Give instructions verbally and use a picture pamphlet, repeating points more than once 2. Ask other children who have had this procedure to talk to the child 3. Allow the child to lead the session to gain a sense of control 4. Play a television show in the background