A patient with rapid-cycling bipolar disorder is not responding to lithium therapy. At the next multidisciplinary team meeting, the nurse should point out that many rapid-cycling patients have been effectively treated using

a. sertraline (Zoloft).
b. phenytoin (Dilantin).
c. benztropine (Cogentin).
d. divalproex (Depakote).


D
Valproates (like divalproex) are considered first-line agents in the treatment of mania. Valproates are especially effective in the treatment of rapid-cycling bipolar disorders. None of the other drugs mentioned are indicated for treatment of manic states.

Nursing

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Which patients may receive hydralazine to treat hypertension? (Select all that apply.)

a. A 1-month-old infant b. A 5-year-old child c. A pregnant woman d. A mother breast-feeding a newborn e. An older adult

Nursing

During development of an instrument to measure self-esteem, the nurse researcher administered the instrument to individuals who were substance abusers and to individuals who were not substance abusers and anticipated a significant difference in scores

This method of establishing construct validity is categorized as what? a. Factor analysis b. Convergent validity c. Discriminant validity d. Contrasted-groups approach

Nursing

Before discharge, the nurse confirms that the client understands antibiotic therapy for a wound infection by which statement?

a. "I should take the antibiotic until my temperature is normal." b. "If my temperature elevates, I should in-crease my dose of antibiotic." c. "If my drainage is clear, I do not need the antibiotic." d. "I need to take the medication until the prescription is finished."

Nursing

An urban hospital decided to sponsor a school-based clinic in a nearby ghetto area as part of the services of the hospital. The service is viewed as:

a. Departmentalization by specialty b. Departmentalization by function c. Departmentalization by territories d. Departmentalization by client

Nursing