Author Question: A 15-year-old female is seen in the clinic for episodes of cutting herself since her parents ... (Read 94 times)

beccaep · **on:** Jul 19, 2018

A 15-year-old female is seen in the clinic for episodes of cutting herself since her parents divorced six 6 months ago. Which nursing diagnosis is a priority for this client?

a. Behavior, risk-prone health
b. Spiritual distress
c. Social interaction, impaired
d. Family processes, interrupted

Question 2

A patient with bipolar disorder has an unstable mood, aggressiveness, agitation, talkativeness, and irritability.

The nurse begins care planning based on the expectation that the health care provider is most likely to prescribe a medication classified as a(n): a. anticholinergic.
b. mood stabilizer.
c. psychostimulant.
d. antidepressant.

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

Answer to Question 1

A
The client is demonstrating anger turned inward demonstrated by self-mutilation. The priority would be to prevent the client from further harming herself. Dealing with spiritual distress, impaired social interaction, and interrupted family processes are accomplished after this.

Answer to Question 2

B
The symptoms describe mania, which is effectively treated by mood stabilizers such as lithium and selected anticonvulsants (carbamazepine, valproic acid, and lamotrigine). Drugs from the other classifications listed are not effective in the treatment of mania.