Author Question: A manic client has been diagnosed as a rapid cycler.. The psychiatrist decides to prescribe an ... (Read 45 times)

burchfield96 · **on:** Jul 19, 2018

A manic client has been diagnosed as a rapid cycler.. The psychiatrist decides to prescribe an
anticonvulsant medication that has been found to have mood-stabilizing properties.

To prepare
health teaching materials, the drug the nurse should anticipate being prescribed is
a. sulindac (Clinoril).
b. carbamazepine (Tegretol).
c. clonidine (Catapres).
d. chlorpromazine (Thorazine).

Question 2

The nurse spends several sessions with a client with paranoid schizophrenia and the client's family
to help them understand the importance of the client regularly taking antipsychotic medication.

The
client repeatedly states he does not like taking pills, and family members say they feel helpless to
foster his compliance. The treatment strategy the nurse should discuss with the physician is
a. use of an antipsychotic decanoate preparation.
b. adjunctive use of amitriptyline (Elavil).
c. use of benzodiazepines such as diazepam (Valium).
d. use of chlordiazepoxide (Librium).

macagn · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

B
Some clients with bipolar disorder, especially those who have only short periods between episodes,
have a favorable response to the anticonvulsants carbamazepine and valproate. Carbamazepine
seems to work better in clients with rapid cycling and in severely paranoid, angry manic clients.

Answer to Question 2

A
Medications such as fluphenazine decanoate and haloperidol decanoate are long-acting forms of
antipsychotic medication. They are given by depot injection every 2 to 4 weeks, thus reducing daily
opportunities for noncompliance. The other options do not address the client's dislike of taking pills.