This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: In a rush of words, a patient tells the community mental health nurse, Everything's a disaster I ... (Read 101 times)

justinmsk

  • Hero Member
  • *****
  • Posts: 524
on: Jul 19, 2018
In a rush of words, a patient tells the community mental health nurse, Everything's a disaster I cannot concentrate. My disability check did not come. My roommate moved out and I cannot afford the rent. My therapist is moving away.
 
  I don't know what to do and feel like I'm coming apart. Which nursing diagnosis applies? a. Decisional conflict related to challenges to personal values.
  b. Spiritual distress related to ethical implications of treatment regimen.
  c. Anxiety related to changes perceived as threatening to psychological equilibrium.
  d. Self-concept disturbance related to solving multiple problems affecting security needs.

Question 2

A patient with bipolar disorder has rapid cycles. To prepare teaching materials, the nurse anticipates which medication will be prescribed?
 
  a. Clonidine (Catapres)
  b. Phenytoin (Dilantin)
  c. Carbamazepine (Tegretol)
  d. Chlorpromazine (Thorazine)


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

LVPMS

  • Sr. Member
  • ****
  • Posts: 323
Reply #1 on: Jul 19, 2018
Answer to Question 1

C
Subjective and objective data obtained by the nurse suggest the patient is experiencing anxiety caused by multiple threats to security needs. Data are not present to suggest decisional conflict, ethical conflicts around treatment causing spiritual distress, or self-concept disturbance.

Answer to Question 2

C
Some patients with bipolar disorder, especially those who have only short periods between episodes, have a favorable response to the anticonvulsants carbamazepine and valproate. Phenytoin (Dilantin) is also an anticonvulsant, but it is not used for mood stabilization. Carbamazepine seems to work better in patients with rapid cycling and in severely paranoid, angry, patients with mania.


justinmsk

  • Member
  • Posts: 524
Reply 2 on: Jul 19, 2018
Wow, this really help

dyrone

  • Member
  • Posts: 322
Reply 3 on: Yesterday
YES! Correct, THANKS for helping me on my review

« previous next »
 

Did you know?

In inpatient settings, adverse drug events account for an estimated one in three of all hospital adverse events. They affect approximately 2 million hospital stays every year, and prolong hospital stays by between one and five days.

Did you know?

The B-complex vitamins and vitamin C are not stored in the body and must be replaced each day.

Did you know?

Most fungi that pathogenically affect humans live in soil. If a person is not healthy, has an open wound, or is immunocompromised, a fungal infection can be very aggressive.

Did you know?

Signs of depression include feeling sad most of the time for 2 weeks or longer; loss of interest in things normally enjoyed; lack of energy; sleep and appetite disturbances; weight changes; feelings of hopelessness, helplessness, or worthlessness; an inability to make decisions; and thoughts of death and suicide.

Did you know?

Every 10 seconds, a person in the United States goes to the emergency room complaining of head pain. About 1.2 million visits are for acute migraine attacks.

Patients are encouraged to take an active role in their health care. Patients are encouraged to take an active role in their health care.
Health effects of Caffeine Health effects of Caffeine
A nurse communicates with her non–English-speaking patient through an interpreter A nurse communicates with her non–English-speaking patient through an interpreter
A patient with exophthalmos. A patient with exophthalmos.
A patient undergoing hemodialysis. A patient undergoing hemodialysis.
Inadequate Airway, Breathing and Circulation in the Trauma Patient (Part 2) Inadequate Airway, Breathing and Circulation in the Trauma Patient (Part 2)
Video: ATPase function - membrane transport, contractile proteins and synthesis

For a complete list of videos, visit our video library