An adolescent was recently diagnosed with ODD. The parents say to the nurse, 'Isn't there some medication that will help with this problem?' Select the nurse's best response.

Correct Answer: C

Rationale: The correct answer is C, as medication is not typically the first line of treatment for Oppositional Defiant Disorder (ODD). The nurse should educate the parents on the importance of behavioral strategies as the primary intervention. Medications are usually reserved for cases where behavioral approaches have not been effective or for co-occurring conditions. Option A is too absolute and dismissive. Option B is a general statement and does not address the specific situation. Option D provides inaccurate information by suggesting that medications are the main solution without considering other interventions. By selecting option C, the nurse acknowledges the parents' concerns while redirecting the focus towards more appropriate strategies for managing ODD.

Correct Answer: D

Rationale: The correct answer is D: Zyprexa calms hyperactivity until the Eskalith takes effect. Olanzapine (Zyprexa) is an atypical antipsychotic that helps control manic symptoms quickly, providing immediate relief from hyperactivity while waiting for lithium carbonate (Eskalith) to reach therapeutic levels. It is essential to address the severe manic behaviors promptly to prevent potential harm to the client or others. Choices A, B, and C are incorrect. A: Zyprexa does not cure manic symptoms; it helps manage symptoms. B: Zyprexa is not primarily used to prevent extrapyramidal side effects; it is more for managing acute manic episodes. C: Zyprexa may or may not directly ensure a good night's sleep; its primary purpose is to manage manic symptoms.

Correct Answer: A

Rationale: The correct answer is A (ADHD) because research shows a strong link between ADHD and bipolar disorder in youth. Both conditions share symptoms like impulsivity and mood instability. ADHD is often a precursor to developing bipolar disorder later in life. Choice B (Disruptive mood dysregulation disorder) is incorrect because it is a distinct disorder characterized by severe temper outbursts, not directly linked to bipolar disorder. Choice C (Nonepisodic irritability) is incorrect as it does not specify a specific mental health condition and lacks a direct connection to bipolar disorder. Choice D (Schizophrenia) is incorrect as it is a separate psychotic disorder with different symptoms and does not typically co-occur with bipolar disorder in youth.

Correct Answer: C

Rationale: The correct answer is C because ensuring the client's safety is the top priority in managing bipolar disorder. This includes preventing self-harm or harm to others. Without safety, other outcomes are not achievable. Choices A and B focus on therapeutic interventions but are not as critical as safety. Choice D addresses coping skills, which are important but secondary to ensuring immediate safety.

Correct Answer: D

Rationale: The correct answer is D because providing dialectical behavioral therapy (DBT) requires specialized training and expertise typically possessed by advanced practice nurses. DBT is a specific therapeutic approach designed for individuals with impulse control disorders, and it involves intensive training and ongoing supervision. Leading an activity group (A) and providing positive feedback (B) are within the scope of practice of both staff nurses and advanced practice nurses. Formulating nursing diagnoses (C) is also a skill that staff nurses can perform as part of the nursing process. In summary, the advanced practice nurse would be better equipped to provide DBT due to their advanced training and expertise in this specific therapeutic approach.