A patient with bipolar disorder is in an acute manic state….
A patient with bipolar disorder is in an acute manic state. The nursing staff is unable to de-escalate the patient and the provider orders a one time dose of ariprazole ( abilify) IM. Which of the following behaviors indicates the medication has been effective?
Read DetailsNurses Notes13:30 Client arrives to clinic reporting extre…
Nurses Notes13:30 Client arrives to clinic reporting extreme feelings of sadness and loneliness after the client’s dog dies in a tragic accident 6 weeks ago. Client states, “I can’t stop crying and I haven’t gone to work for the past week. I can hardly eat or sleep because I’m so upset, Client explains the dog was a trusted companion and provided much emotional support for the client. Client states, “I feel like I want to start cutting again and end my life. My mom encouraged me to come here and get help.”. Client appears well groomed, dressed appropriately, is tearful with flat affect, and makes little eye contact. Client HistoryClient reports living alone and working as a full-time caregiver for 2 young children. Client reports 3 inpatient behavioral health admissions in the past, with the most recent 9 months ago, when client demonstrated the inability to care for self and maintain safety. Client states, “I cut myself multiple times then, in an attempt to end my life. All the terrible events of my past just came crashing down on me.” Client denies any medical issues. MedicationDoseRouteFrequency Fluoxetine20mgPOOnce daily Olanzapine5mgPOOnce daily Ethinyl estradiol1 tabletPOOnce daily Multivitamin (MVI)1 tabletPOOnce daily Which actions should the nurse take? (Select all that Apply)
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