A patient with a borderline personality disorder tells the nurse, "My doctor tells me there's something wrong with the hard wiring of my brain, and that's why I'm so impul-sive and get so many mood swings
He said he's going to prescribe some medication." Being aware of current practice guide-lines, the nurse will prepare a teaching plan for:
a. Lithium (Lithobid)
b. Fluoxetine (Prozac)
c. Lorazepam (Ativan)
d. Haloperidol (Haldol)
ANS: B
Fluoxetine is an SSRI. SSRIs are the medications of choice for patients with personality dis-order who have affect dysregulation and impulsivity. SSRIs have a low incidence of side ef-fects. Lithium may be used in instances of severe mood disorder. Lorazepam is used to help manage high anxiety, while haloperidol is prescribed in cases of violent behavior.
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