A client hospitalized with a mood disorder displays an elevated, unstable mood, aggressiveness,
agitation, talkativeness, and irritability.
The nurse can begin care planning based on the expectation
that the psychiatrist is most likely to prescribe a medication classified as a(n)
a. anticholinergic.
b. mood stabilizer.
c. psychostimulant.
d. antidepressant.
ANS: B
The symptoms describe a manic attack. Mania is effectively treated by the antimania drug lithium
and selected anticonvulsants such as carbamazepine, valproic acid, and lamotrigine. No drugs from
the other classifications listed are effective in the treatment of mania.
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A respected school coach is arrested after a student reports that he attempted to have sexual contact with him. Which issue would be the priority for assessment in the period immediately following the coach's arrest?
a. Determine the nature and extent of his sexual disorder. b. Investigate whether other children were harmed. c. Assess the potential for suicide or other self-harm. d. Assess the patient's perception of his problem and needs.
An auscultatory gap may occur between which Korotkoff sounds?
A) First and second B) Second and third C) Third and fourth D) Fourth and fifth
The nurse has presented information on prenatal class options to a couple pregnant for the first time. Which statement made by the couple indicates that the couple is experiencing deficient knowledge?
1. "Prenatal classes eliminate the risk of needing a vacuum extraction or cesarean birth.". 2. "Prenatal classes help parents cope with the discomforts and unknowns of childbirth.". 3. "Prenatal classes facilitate better communication between both partners.". 4. "Prenatal classes encourage participants to write a list of their requests for labor and birth.".
A nurse would know in-home mental health care was effective in meeting one of its main goals if the client:
A) Needed continued intensive monitoring in the home. B) Needed crisis intervention services on an ongoing basis. C) Was admitted less often to inpatient psychiatric hospitals. D) Encouraged his or her parents to participate in his or her care.