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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Agreeing: Agreeing involves expressing approval or agreement with the client's statements or opinions without critically examining or exploring their content. In the scenario, the nurse's response does not involve agreeing with the client's statement about the spouse's behavior.
B. Giving Information: Giving information involves providing factual information or explanations to the client. The nurse's response in the scenario goes beyond simply providing information and instead offers a direct suggestion regarding what the client should do about their spouse.
C. Verbalizing the implied: Verbalizing the implied involves articulating underlying feelings or messages that the client may not have directly expressed. In the scenario, the nurse's response does not focus on verbalizing the implied feelings but rather provides a straightforward recommendation.
D. Giving Advice: Giving advice involves offering personal opinions, suggestions, or recommendations to the client. In the scenario, the nurse's response of suggesting that the client should divorce and deserves better than their cheating spouse falls under the category of giving advice.
Correct Answer is A
Explanation
A. Rationalization:
Rationalization involves providing logical or rational explanations to justify one's behavior or actions, especially when faced with anxiety or guilt. In this scenario, the student is rationalizing their decision to go to the party instead of studying by attributing their low exam score to having to work too much. This rationalization serves as a way to lessen feelings of guilt or responsibility for not studying adequately. In this scenario, the most applicable defense mechanism is A. Rationalization, as the student is providing a logical explanation to justify their behavior and avoid taking full responsibility for their actions or decisions.
B. Denial:
Denial is a defense mechanism where an individual refuses to accept or acknowledge reality or facts that are too painful or distressing. If the student were in denial, they would outright reject or refuse to believe that their decision to attend the party had any impact on their exam performance, despite evidence suggesting otherwise.
C. Regression:
Regression involves reverting to earlier, more childlike behaviors or coping mechanisms in response to stress or anxiety. If the student were exhibiting regression, they might engage in behaviors characteristic of a less mature or responsible approach to handling academic challenges, such as avoiding responsibility or blaming external factors without taking personal accountability.
D. Suppression:
Suppression is a defense mechanism where an individual consciously pushes aside or ignores thoughts, feelings, or impulses that are distressing or unacceptable. If the student were suppressing their feelings of guilt or regret about attending the party instead of studying, they would be deliberately trying to ignore or push away these emotions rather than addressing them directly.
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