A nurse is analyzing a client's diagnosis list and medication list. Which medication class can be effectively in treating manic episodes with bipolar disorder?

Antidepressant Drugs

Mood-Stabilizing Drugs

Antipsychotic Drugs

Anxiolytics

Answer and Explanation

The Correct Answer is B

A. Antidepressant Drugs: Antidepressant drugs are not typically used as first-line treatment for manic episodes in bipolar disorder. In fact, they can sometimes trigger manic episodes or rapid cycling in individuals with bipolar disorder, so they are generally used cautiously and in combination with mood-stabilizing medications.

B. Mood-Stabilizing Drugs: Mood-stabilizing drugs, such as lithium, valproate, carbamazepine, and lamotrigine, are commonly used to treat manic episodes in bipolar disorder. These medications help stabilize mood swings, reduce manic symptoms (such as elevated mood, irritability, impulsivity), and prevent future episodes of mania or depression.

C. Antipsychotic Drugs: Antipsychotic drugs are often used to manage acute manic episodes in bipolar disorder. They can help reduce symptoms such as agitation, hallucinations, and delusions commonly seen during manic episodes. Some antipsychotic medications also have mood-stabilizing properties.

D. Anxiolytics: Anxiolytics, such as benzodiazepines, are primarily used to manage anxiety symptoms. While they may be helpful for individuals with bipolar disorder who experience anxiety alongside their mood symptoms, they are not specifically targeted at treating manic episodes.

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Correct Answer is D

Explanation

A. "The focus is on solving the patient's problems. Problems are discussed by the nurse and patient, and solutions are given by the nurse." This explanation highlights the nurse's role in problem-solving and providing solutions, which is characteristic of a therapeutic nurse-patient relationship where the nurse takes an active role in addressing the patient's needs and challenges.

B. "The focus of the relationship is socialization. Mutual needs are met, and feelings are openly shared." This explanation describes more of a social relationship where mutual needs are met, and feelings are shared openly, rather than focusing on problem-solving and addressing the patient's specific issues.

C. "The focus is the creation of a partnership in which each member is concerned with the growth and satisfaction of the other." While this explanation emphasizes a partnership and mutual concern for growth and satisfaction, it does not specifically highlight the nurse's role in problem-solving and providing solutions for the patient's problems.

D. "The focus is on the patient. Problems are discussed by the nurse and patient, but solutions are implemented by the patient." This explanation captures the essence of a therapeutic nurse-patient relationship, where the focus is on the patient's needs, and while problems are discussed collaboratively, the patient takes an active role in implementing solutions.

Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"B"}

Explanation

Choice A: Pseudoparkinsonism

Pseudoparkinsonism is a side effect of antipsychotic medications that can manifest with symptoms similar to Parkinson's disease, such as a stooped posture, shuffling gait, and tremors. It is caused by the blockade of dopamine receptors in the basal ganglia of the brain, leading to a disruption in motor control.

Choice B: Blocking the dopamine receptors

Antipsychotic medications, particularly typical antipsychotics (also known as first-generation antipsychotics), work by blocking dopamine receptors in the brain. This action can lead to various side effects, including pseudoparkinsonism, as seen in the client's presentation.

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A nurse is analyzing a client's diagnosis list and medication list. Which medication class can be effectively in treating manic episodes with bipolar disorder?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse explains to the family of a patient who is mentally ill how the nurse-patient relationship differs from social relationships. which is the best explanation?

Correct Answer is D

Explanation

A nurse is taking care of a client who is taking an antipsychotic medication. Assessment findings reveal a stooped posture, shuffling gait with small steps, and tremor. Based on the nursing assessment, the client is most likely experiencing dropdown due to the antipsychotic drug dropdown.

Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"B"}

Explanation

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