A nurse is taking a history from a client with dissociative ...

[futuristic]

A nurse is taking a history from a client with dissociative identity disorder. The nurse should expect the client to report that:
  Select all that apply.
 
  A) No one else in her family has ever had similar problems.
  B) She was abused during her childhood.
  C) Her family was isolated from the community.
  D) Her family was inconsistent in their religious beliefs.
  E) Mixed messages about feelings were common.

Question 2

Which of the following medications has a direct mood-stabilizing effect for the acute phase of mania within 24 to 72 hours after the first dose?
 
  a. lithium carbonate (Eskalith)
  b. haloperidol (Haldol)
  c. valproic acid (Depakene)
  d. clonazepam (Klonopin)

[Pamela.irrgang@yahoo.com]

Answer to Question 1

B, C, E

Answer to Question 2

C
Valproic acid (divalproex) has a direct mood-stabilizing effect, and it may begin to work within 24 to 72 hours. Consequently, it is sometimes administered as part of the initial pharmacological treatment of acute mania or may sometimes be used alone.