WDU D116 Managing Bipolar Disorder: Medication Side
Effects & Treatment
Correct
1.1. A patient who has recently begun taking carbamazepine for bipolar disorder reports
having vertigo and headaches. Which action by the nurse is appropriate?
A. Ask the provider whether another medication can be used for this patient,
because the patient is showing signs of toxicity.
B. Contact the provider to request a complete blood count (CBC) to evaluate for
other, more serious side effects.
C. Reassure the patient that these effects occur early in treatment and will resolve
over time.
Feedback:Common side effects of carbamazepine include feeling sleepy, dizziness,
headaches and feeling or being sick. These are usually mild and go away by themselves
D. Review the patient’s chart for cytochrome P450 enzymes to see whether an
increased dose is needed.
Incorrect
2.A patient with bipolar disorder who wants to minimize the need for drug therapy asks
the NP what else can be done to treat the disorder. The NP will recommend all of the
following measures except?
A. Electroconvulsive therapy
C. Psychotherapy
Feedback:Psychotherapy, regular sleep and exercise patterns, and monitoring of mood
symptoms have all been proven beneficial in the management of bipolar disorder.
D. Regular sleep and exercise
Feedback:Psychotherapy, regular sleep and exercise patterns, and monitoring of mood
symptoms have all been proven beneficial in the management of bipolar disorder.
E. Using a chart to monitor mood changes
Feedback:Psychotherapy, regular sleep and exercise patterns, and monitoring of mood
symptoms have all been proven beneficial in the management of bipolar disorder.
Correct
3.3. A patient with bipolar disorder has frequent manic episodes alternating with
depressive episodes. The prescriber orders risperidone in addition to the lithium that the
patient is already taking. The patient asks the nurse practitioner why another drug is
needed. The nurse practitioner will tell the patient that the risperidone is used to:
A. elevate mood during depressive episodes.
B. help control symptoms during manic episodes.
Feedback:Risperidone is an atypical antipsychotic that is used widely in the treatment
of mania and schizophrenia
C. manage tremors associated with lithium use.
D. prevent recurrence of depressive episodes.
Incorrect
4.4. A patient who travels frequently for business reports occasional instances of being
unable to fall asleep. The patient tells the nurse practitioner that job demands require
staying up late and then getting up early for meetings. The provider will prescribe which
medication for this patient?
This study source was downloaded by 100000823202934 from CourseHero.com on 08-15-2024 08:17:48 GMT -05:00
, A. Flurazepam
B. Trazodone [Desyrel]
C. Zaleplon [Sonata]
D. Zolpidem [Ambien]
Correct
5.5. An adult patient will begin taking atomoxetine for attention-deficit/hyperactivity
disorder. What will the nurse teach this patient?
A. Appetite suppression does not occur, because this drug is not a stimulant.
B. Stopping the drug abruptly will cause an abstinence syndrome.
C. Suicidal thoughts may occur and should be reported to the provider.
D. Therapeutic effects may not be felt for 4 to 8 weeks after beginning therapy.
Feedback:It may take four to eight weeks to get the maximum benefit once the right
dose is determined
Incorrect
6.6. A nurse practitioner is teaching a class on addiction. Which statement by one of the
class participants indicates a need for further teaching?
A. Addictive drugs lead to dopamine release in amounts similar to those released by
normal reward circuits.”
B. “Neural remodeling leads to decreased dopamine release, leaving users with
feelings of lifelessness and depression.”
C. “Over time, the brain will develop reduced responses to many addictive drugs.”
D. “With the use of a drug over time, the brain undergoes synaptic remodeling.”
Incorrect
7.7. A nurse practitioner provides teaching for a patient with a newly diagnosed partial
complex seizure disorder who is about to begin therapy with antiepileptic drugs (AEDs).
Which statement by the patient indicates understanding of the teaching?
A. “Even with an accurate diagnosis of my seizures, it may be difficult to find an
effective drug.”
B. “I will soon know that the drugs are effective by being seizure free for several
months.”
C. “Serious side effects may occur, and if they do, I should stop taking the
medication.”
D. “When drug levels are maintained at therapeutic levels, I can expect to be seizure
free.”
Correct
8.8. A patient with a form of epilepsy that may have spontaneous remission has been
taking an AED for a year. The patient reports being seizure free for 6 months and asks
the nurse when the drug can be discontinued. What will the nurse tell the patient?
A. AEDs must be taken for life to maintain remission.
B. Another AED will be substituted for the current AED.
This study source was downloaded by 100000823202934 from CourseHero.com on 08-15-2024 08:17:48 GMT -05:00
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