A client diagnosed with bipolar I disorder: manic episode refuses to take lithium carbonate because he complains that it makes him feel sick. Which of the following medications might be alternatively prescribed for mood stabilization in bipolar disorders?
A. Sertraline (Zoloft)
B. Valproic acid (Depakote)
C. Trazodone (Desyrel)
D. Paroxetine (Paxil)
ANS: B
Although lithium is a prototype drug in the treatment of bipolar disorders, anticonvulsants such as valproic acid also have demonstrated efficacy for mood stabilization.
You might also like to view...
The nurse meets a coworker in the elevator who states that a family friend is a client on the nurse's unit and asks what the friend's condition is. Which response should the nurse give to the coworker to maintain the client's rights?
1. "Your friend told us to say nothing.". 2. "Why don't you ask your friend now?" 3. "You know I can't talk about the clients.". 4. "Well, it was really a very difficult surgery.".
A needle's gauge reflects its outer diameter
Indicate whether the statement is true or false
MC The nurse is working with a group of lesbian, bisexual, and transgender women. What statements should the nurse be most concerned about regarding psychological considerations in working this group of clients? (Select all that apply.)
A. "I constantly feel negative feelings about my sexual preference." B.* "I do not live my life openly, but I never fear someone will find out I am a lesbian." C. "I am coming out and sometimes I have contradictory feelings of excitement and relief." D. "The excitement of coming out is overwhelming." E. "I constantly monitor everything I say and do for fear my mother will find out I am a lesbian."
A client asks the nurse what causes schizophrenia. Which contributing factors should the nurse include in the client teaching?Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.
A. Biological brain disorder B. Alcohol use during pregnancy C. Stressful environment D. Genetic link E. Abnormal levels of neurotransmitters in the brain