Which question should a nurse pose initially to a patient being considered for inclusion into a therapeutic group that focuses on the management of bipolar disorder?
a. Do you find it difficult to talk to people about your manic periods?
b. Can you share with me what it is you hope to gain from this group?
c. Can you tell me how this diagnosis has affected your daily life?
d. What is your opinion about joining a therapeutic group?
Question 2
A client with a diagnosis of bipolar I disorder, current episode manic, tells a physician that she does not want to take lithium carbonate because she has gained a lot of weight while taking this medication.
She says that if the physician sends her home on this drug she will just stop taking it. The physician decides to change the client's medication so she will be more compliant. Which medication should a nurse anticipate that the physician will choose to prescribe for this client?
A) Sertraline (Zoloft)
B) Valproic acid (Depakote)
C) Trazodone (Desyrel)
D) Paroxetine (Paxil)
Client on IV patient-controlled analgesia (PCA).
Patient health history form Cont.
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