The nurse is providing information to the spouse of a patient who has been diagnosed with bipolar disorder. What treatment will the nurse share as being most effective for a patient with acute mania?
1. Group therapy
2. Fluoxetine (Prozac)
3. Seclusion and restraint
4. Electroconvulsive therapy (ECT)
Answer: 4
Explanation: Electroconvulsive therapy (ECT) has been proven useful to patients with acute mania. A patient with acute mania has difficulty sitting through a group therapy session due to hyperactivity. Fluoxetine (Prozac) is effective in treating depression, not mania. Seclusion and restraint are used only as an emergency measure.
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A patient is to be switched from fluoxetine (Prozac) to isocarboxazid (Marplan). What patient education is most important when changing from fluoxetine (Prozac)?
A) Wait 5 days before starting isocarboxazid (Marplan). B) Wait 1 week before starting isocarboxazid (Marplan). C) Wait 2 weeks before starting isocarboxazid (Marplan). D) Wait 5 weeks before starting isocarboxazid (Marplan).
A nurse needs to begin teaching about crutch walking with a 14-year-old patient. Which action should the nurse take first?
a. Motivate the patient to comply with the use of crutches. b. Prevent diseases and learn good health promotion activities for crutch walking. c. Allow the entire health care team to give the patient a variety of strategies for crutch walking. d. Determine the patient's level of knowledge and perception of the learning needed for crutch walking.
In the literature report of a study on quality of life, the researcher describes two previous investigations suggesting that spirituality is related to quality of life. This information suggests that the current study is significant because it:
a. addresses multidisciplinary concerns. b. builds on previous research. c. challenges existing theory. d. influences theology.
When comparing disorders of the peripheral nervous system, which pathophysiologic feature is a hallmark of Guillain-Barré syndrome?
A. Nerve impulses are not transmitted to skeletal muscle. B. The immune system destroys the myelin sheath. C. The distal nerves degenerate and retract. D. Antibodies to acetylcholine receptor sites develop.