A patient is shouting loudly and is verbally aggressive. What ...

[genevieve1028]

A patient is shouting loudly and is verbally aggressive. What analysis should the nurse make about this behavior?
 
  a. It is acceptable if directed toward staff but not toward another patient.
  b. It is not harmful and might prevent the patient from physically acting out.
  c. It is a significant warning sign that the patient may become physically aggressive.
  d. It allows the patient to vent frustration and alleviate stress without hurting anyone.

Question 2

A patient with a long history of multiple sclerosis developed psychosis with acute mani
 
  a. The nurse should anticipate that the health care provider will probably prescribe which medication to help stabilize the mania?
  a. Lithium (Lithobid)
  b. Amitriptyline (Elavil)
  c. Divalproex (Depakote)
  d. Diphenhydramine (Benadryl)

[Zack0mack0101@yahoo.com]

Answer to Question 1

C
Research findings indicate that verbally aggressive attacks on others are among the major warning signs of assault and battery, making the other answers mutually exclusive. Verbal aggression is part of the assault cycle.

Answer to Question 2

C
The valproates are first-line drugs for treatment of manic episodes associated with bipolar disorder or resulting from general medical problems. They have a rapid onset and are well tolerated. Lithium takes 7 to 10 days to modify symptoms. Diphenhydramine and amitriptyline have sedative side effects but would not stabilize the mania.

[genevieve1028]

Excellent

[xiazhe]

TYSM