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    Mental Health Proctored Exam (examplify)

    Liam, 12-year-old male Patient: Liam, 12-year-old male Presenting Concerns: Frequent involuntary movements and vocalizations for the past year. Mother reports Liam makes sudden shoulder jerks and occasionally blurts out words. Symptoms worsen with stress. History: No substance use. No significant medical history. Provider Notes: Diagnosed with Tourette's disorder. Discussing medication options and behavioral interventions. When planning care for a client, which medication classification should a nurse recognize as effective in the treatment of Tourette's disorder?

    Explanation & Rationale

    A. Tricyclic antidepressant medications: Tricyclic antidepressants are primarily used to treat depression or obsessive-compulsive symptoms. They do not directly reduce the frequency or severity of tics in Tourette’s disorder. B. Monoamine oxidase inhibitor medications: MAO inhibitors are indicated for certain types of depression and anxiety disorders. They are not effective in controlling motor or vocal tics associated with Tourette’s disorder. C. Antimanic medications: Antimanic agents, such as lithium, are used to manage bipolar disorder and mood stabilization. They do not target the neurological mechanisms underlying tics in Tourette’s disorder. D. Antipsychotic medications: Typical and atypical antipsychotics, such as haloperidol or risperidone, are effective in reducing motor and vocal tics. These medications act on dopamine pathways involved in tic generation, helping to manage severity and improve functioning.

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