A patient is becoming increasingly tense, pacing the hall, ...

[saraeharris]

A patient is becoming increasingly tense, pacing the hall, alternately whispering and shouting. Other patients receive hostile, suspicious glares as they walk by. Which phase of the assault cycle is the patient demonstrating?
 
  a. Crisis phase
  b. Triggering phase
  c. Escalation phase
  d. Depression phase

Question 2

A nurse should schedule a weekly complete blood cell count (CBC) for a patient beginning therapy with which antimanic drug?
 
  a. Lithium
  b. Valproate (Depakote)
  c. Quetiapine (Seroquel)
  d. Carbamazepine (Tegretol)

[ilianabrrr]

Answer to Question 1

B
The triggering phase is characterized by increased tension, readiness to retaliate, pacing, irritability, suspiciousness, glaring, breathing changes, and diaphoresis. The other stages are defined by behaviors specific to the stage and are not described in the scenario.

Answer to Question 2

D
Agranulocytosis is known to be an occasional but potentially dangerous adverse effect of carbamazepine therapy, hence the need for regular CBCs. The other drugs have a lower risk of causing this effect.

[saraeharris]

Thanks for the timely response, appreciate it

[tkempin]

TYSM