A nurse is assessing a client with bipolar disorder who is ...

[Ebrown]

A nurse is assessing a client with bipolar disorder who is experiencing mania. The client states, I'm just so beautiful. Everyone just stops and stares at how gorgeous I am. Men constantly want to have sex with me.
 
  The nurse interprets these statements as indicative of which type of mood?
 
  A) Irritable
  B) Elevated
  C) Expansive
  D) Euphoric

Question 2

A hospitalized client with schizophrenia is receiving antipsychotic medications. While assessing the client, a nurse identifies signs and symptoms of a dystonic reaction. Which agent would the nurse expect to administer?
 
  A) Diphenhydramine
  B) Propranolol
  C) Risperidone
  D) Aripiprazole

[jamesnevil303]

Answer to Question 1

Ans: C
The client's statements reflect an expansive mood, which is characterized by lack of restraint in expressing feelings, an overvalued sense of self-importance, and a constant and indiscriminate enthusiasm for interpersonal, sexual, or occupational interactions. An irritable mood is characterized by easy annoyance and provocation to anger, particularly when wishes are challenged or thwarted. An elevated mood can be expressed as euphoria (exaggerated feelings of well-being) or elation (feeling high, ecstatic, on top of the world, or up in the clouds).

Answer to Question 2

Ans: A
For dystonic reactions, the drug of choice is benztropine mesylate or diphenhydramine. Propranolol could be used to treat akathisia. Risperidone and aripiprazole are antipsychotic agents used to treat schizophrenia.

[Ebrown]

Correct answers!

[jamesnevil303]

Great! Please up vote