A Patient with a Seizure Disorder Is Admitted to the Hospital

question 9

Multiple Choice

A patient with a seizure disorder is admitted to the hospital and has a partial convulsive episode shortly after arriving on the unit. The patient has been taking phenytoin [Dilantin] 100 mg three times daily and oxcarbazepine [Trileptal] 300 mg twice daily for several years. The patient's phenytoin level is 8.6 mcg/mL,and the oxcarbazepine level is 22 mcg/mL. The nurse contacts the provider to report these levels and the seizure. What will the nurse expect the provider to order?

• A) A decreased dose of oxcarbazepine
• B) Extended-release phenytoin
• C) An increased dose of phenytoin
• D) Once-daily dosing of oxcarbazepine

---

Definitions:

Intrinsic Motivation

Involves being driven to engage in an activity for its own sake and the personal satisfaction it brings, rather than for some external reward.

Introjected Regulation

A form of internal motivation where individuals engage in a behavior not out of personal interest but because of internal pressures or obligations.

Amotivation

A lack of motivation or absence of intrinsic or extrinsic motivators to engage in an activity.

Self-handicapping

A cognitive strategy where individuals create obstacles and excuses to avoid self-blame when they do not meet expectations.