A client with rapid cycling bipolar disorder is not responding well to lithium. The client tells the nurse, It feels as though I'll never get well. I get better, then I get worse. The reply that is based on knowledge of current therapy would be:
1. You're feeling very discouraged aren't you?
2. It's not all bad, is it? Sometimes you like being high.
3. Another drug, valproic acid, is proving effective for rapid cycling.
4. If your kidneys hold out, the lithium will eventually control the symptoms.
Question 2
To understand what to expect following administration of a benzodiazepine, the nurse must un-derstand that benzodiazepines:
1. Enhance the activity of GABA
2. Reduce availability of GABA
3. Interact with serotonin to increase availability
4. Diminish GABA activity
Bipolar disease. The term bipolar means “pertaining to two poles.” The individual with this form of
Atom of the Element Lithium
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Testing rapid alternating movement, palm down
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