Which of the following medications has a direct mood-stabilizing effect for the acute phase of mania within 24 to 72 hours after the first dose?
a. lithium carbonate (Eskalith)
b. haloperidol (Haldol)
c. valproic acid (Depakene)
d. clonazepam (Klonopin)
C
Valproic acid (divalproex) has a direct mood-stabilizing effect, and it may begin to work within 24 to 72 hours. Consequently, it is sometimes administered as part of the initial pharmacological treatment of acute mania or may sometimes be used alone.
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A woman in her 24th week of pregnancy notices she feels faint when lying down for a period. What would you suspect as a cause for this?
A) Adrenal insufficiency B) Orthostatic hypotension C) Supine hypotensive syndrome D) Hypoglycemia
The nurse is caring for a 23-year-old Caucasian male whose wife has recently died. The client has clinical depression and insufficient coping skills. The nurse should first:
A) Refer the client for long-term psychotherapy. B) Determine the client's risk of psychosis. C) Determine if anyone in the client's family has had depression. D) Ask the client if he is thinking about killing himself.
The parish nurse who holds discussions for targeted groups is functioning as a
1. Counselor 2. Liaison 3. Health educator 4. Facilitator
The manager is reviewing care plans created for newly admitted clients. Which nursing diagnostic statement should the manager review with the nurse as needing to be amended?
1. Risk for injury related to left sided paralysis 2. Fluid volume overload related to congestive heart failure 3. Impaired coping related to recent death of spouse and son 4. Imbalanced nutrition: Less than body requirements related to mouth and throat ulcers