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Question: Which condition contraindicates the use of ginseng herbal therapy?

Pregnancy

Schizophrenia

Bipolar depression

Alzheimer disease

Answer: Pregnancy

Rationale

Pregnancy is contraindicated for ginseng herbal therapy. Schizophrenia, bipolar depression, and Alzheimer disease are contraindicated for St. John’s Wort herbal therapy.

Question: During an interview of a client with a diagnosis of bipolar I disorder, manic episode, what does the nurse expect the client to demonstrate?

Flight of ideas

Ritualistic behaviors

Associative looseness

Auditory hallucinations

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Answer: Brain tumor

Rationale

ECT is contraindicated in the presence of a brain tumor, because the treatment causes an increase in intracranial pressure. ECT is not contraindicated in the presence of diabetes, hypothyroid, or urinary tract infection.

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Answer: By blocking access to dopamine receptors at the postsynaptic receptor site

Rationale

Neuroleptics block access to dopamine receptors, rather than inhibiting enzymes, at postsynaptic sites. They increase, not decrease, serotonin at postsynaptic sites.

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Question: Which drug most commonly causes extrapyramidal side effects (EPS)?

Clozapine

Haloperidol

Risperidone

Aripiprazole

Answer: Haloperidol

Rationale

Haloperidol is a typical antipsychotic that commonly causes extrapyramidal side effects. Clozapine is an atypical antipsychotic that has a low risk of causing extrapyramidal side effects. Risperidone and aripiprazole have a low risk of causing extrapyramidal side effects.

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