A nurse is reviewing medications for a newly admitted client who has bipolar disorder and is experiencing mania.
Which of the following client prescriptions should the nurse realize is expected to reduce the client's mania?.
Fluvastatin.
Lorazepam.
Carbamazepine.
Propranolol.
The Correct Answer is C
Choice A rationale:
Fluvastatin is a medication used to treat high cholesterol. It is not used to treat mania in bipolar disorder.
Choice B rationale:
Lorazepam is a benzodiazepine used for treating anxiety, not typically used as a first-line treatment for mania.
Choice C rationale:
Carbamazepine is an anticonvulsant that is used as a mood stabilizer in the treatment of bipolar disorder. It can help reduce symptoms of mania.
Choice D rationale:
Propranolol is a beta-blocker used to treat high blood pressure and heart conditions. It is not typically used to treat mania in bipolar disorder.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
While acknowledging the voices can be part of therapeutic communication, it’s not the first response a nurse should make.
Choice B rationale:
Telling the client that the voices are part of their illness can be helpful, but it’s not the first response a nurse should make.
Choice C rationale:
Asking about the frequency of the voices can be part of the assessment, but it’s not the first response a nurse should make.
Choice D rationale:
Asking what the voices are saying can help assess if the client is experiencing command hallucinations, which could pose a safety risk.
Correct Answer is C
Explanation
Choice A rationale:
Delusional disorder is characterized by the presence of one or more delusions for a month or longer, which could be plausible but are not real. This is not the case here.
Choice B rationale:
Anhedonia refers to the inability to experience pleasure, a common symptom in many mental disorders, including depression. It does not apply to this situation.
Choice C rationale:
Associative looseness, or loose associations, is a thought disorder characterized by speech in which ideas shift from one subject to another that is unrelated or minimally related. The client’s statement is an example of this.
Choice D rationale:
Hallucinations are sensory experiences that occur in the absence of actual stimulation. The client’s statement is not a hallucination, but a disorganized thought process.
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