A genetics report for a patient with bipolar disorder shows lamotrigine (Lamictal) should be an effective treatment for them. The PMHNP will slowly titrate the dose of lamotrigine for which of the following reasons?
Extrapyramidal symptoms
Stevens-Johnson syndrome
Neuroleptic malignant syndrome
Orthostatic hypotension
The Correct Answer is B
Choice A reason: Extrapyramidal symptoms are associated with dopamine antagonists, such as antipsychotics, and are not a concern with lamotrigine.
Choice B reason: Stevens-Johnson syndrome is a rare but serious dermatologic reaction associated with lamotrigine, especially when titrated too quickly. Slow titration reduces the risk of this potentially life-threatening condition.
Choice C reason: Neuroleptic malignant syndrome is linked to antipsychotic use and is not associated with lamotrigine.
Choice D reason: Orthostatic hypotension is a side effect of some psychotropic medications but is not a primary concern with lamotrigine.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: This is an open-ended question that invites further discussion. It is exploratory, not summarizing.
Choice B reason: This is a reflective statement that validates the client’s insight and emotional experience. It is supportive but not a summary of the client’s narrative.
Choice C reason: This is a clear summarizing statement. It encapsulates the client’s motivations, experiences, and evolving understanding of alcohol’s impact. It reflects back the client’s narrative in a structured and comprehensive way.
Choice D reason: This is a brief reflection that captures part of the client’s experience. However, it lacks the depth and structure of a full summary.
Correct Answer is C
Explanation
Choice A reason: Coping questions focus on how the client has managed difficulties in the past or present. They aim to identify strengths and resilience, not hypothetical resolutions.
Choice B reason: Exception questions explore times when the problem did not occur or was less severe. They help identify patterns and solutions but do not involve imagining a complete resolution.
Choice C reason: Miracle questions are a hallmark of solution-focused therapy. They invite clients to envision a future without their current problems, helping to clarify goals and desired outcomes. This is the correct classification of the therapist’s question.
Choice D reason: Scaling questions ask clients to rate their experiences or progress on a numerical scale. They are used to assess intensity or change, not to imagine problem resolution.
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