Bipolar Flashcards
A person was online continuously for over 24 hours, posting rhymes on official government websites and inviting politicians to join social networks. The person has not slept or eaten for 3 days. What features of mania are evident?
Poor judgment and hyperactivity
A patient diagnosed with bipolar disorder is dressed in a red leotard and bright scarves. The patient twirls and shadow boxes. The patient says gaily, Do you like my scarves? Here; they are my gift to you. How should the nurse document the patients mood?
Euphoric
A person was directing traffic on a busy street, rapidly shouting, To work, you jerk, for perks and making obscene gestures at cars. The person has not slept or eaten for 3 days. Which assessment findings will have priority concern for this patients plan of care?
Pressured speech and grandiosity
A patient diagnosed with acute mania has distributed pamphlets about a new business venture on a street corner for 2 days. Which nursing diagnosis has priority?
Risk for injury
A patient diagnosed with bipolar disorder becomes hyperactive after discontinuing lithium. The patient threatens to hit another patient. Which comment by the nurse is appropriate?
Do not hit anyone. If you are unable to control yourself, we will help you.
This nursing diagnosis applies to a patient with acute mania: Imbalanced nutrition: less than body requirements related to insufficient caloric intake and hyperactivity as evidenced by 5-pound weight loss in 4 days.Select an appropriate outcome. The patient will:
drink six servings of a high-calorie, high-protein drink each day.
A patient demonstrating characteristics of acute mania relapsed after discontinuing lithium. New orders are written to resume lithium twice daily and begin olanzapine (Zyprexa). What is the rationale for the addition of olanzapine to the medication regimen? It will:
bring hyperactivity under rapid control.
A patient diagnosed with bipolar disorder has rapidly changing mood cycles. The health care provider prescribes an anticonvulsant medication. To prepare teaching materials, which drug should the nurse anticipate will be prescribed?
carbamazepine (Tegretol)
The exact cause of bipolar disorder has not been determined; however, for most patients:
several factors, including genetics, are implicated.
The spouse of a patient diagnosed with bipolar disorder asks what evidence supports the possibility of
genetic transmission of bipolar disorders. Which response should the nurse prov
A higher rate of relatives with bipolar disorder is found among patients with bipola
A patient diagnosed with bipolar disorder commands other patients, Get me a book. Take this stuff out of here, and other similar demands. The nurse wants to interrupt this behavior without entering into a power struggle. Which initial approach should the nurse select?
Distraction: Lets go to the dining room for a snack.
When a hyperactive patient diagnosed with acute mania is hospitalized, what is the initial nursing intervention?
Set limits on patient behavior as necessary.
At a unit meeting, the staff discusses decor for a special room for patients with acute mania. Which suggestion is appropriate?
Neutral walls with pale, simple accessories
A patient demonstrating behaviors associated with acute mania has exhausted the staff by noon. Staff members are feeling defensive and fatigued. Which action will the staff take initially?
Hold a staff meeting to discuss consistency and limit-setting approaches.
A patient experiencing acute mania undresses in the group room and dances. The nurse intervenes initially by:
putting a blanket around the patient and walking with the patient to a quiet room.
A patient waves a newspaper and says, I must have my credit card and use the computer right now. A store is having a big sale, and I need to order 10 dresses and four pairs of shoes. Select the nurses appropriate intervention. The nurse:
invites the patient to sit together and look at new fashion magazin
An outpatient diagnosed with bipolar disorder takes lithium carbonate 300 mg three times daily. The patient reports nausea. To reduce the nausea most effectively, the nurse suggests that the lithium be taken with:
meals
A health teaching plan for a patient taking lithium should include instructions to:
maintain normal salt and fluids in the diet.
Which nursing diagnosis would most likely apply to both a patient diagnosed with major depression as wel as one experiencing acute mania?
Disturbed sleep pattern
Which dinner menu is best suited for a patient with acute mania?
Broiled chicken breast on a roll, an ear of corn, and an apple
Outcome identification for the treatment plan of a patient experiencing grandiose thinking associated with acute mania will focus on:
distorted thought self-control.
Which documentation indicates that the treatment plan for a patient diagnosed with acute mania has been effective?
Converses with few interruptions; clothing matches; participates in activities.
A patient experiencing acute mania dances around the unit, seldom sits, monopolizes conversations, interrupts, and intrudes. Which nursing intervention will best assist the patient with energy conservation?
Provide a subdued environment. d. Observe for mood changes.
A patient with diagnosed bipolar disorder was hospitalized 7 days ago and has been taking lithium 600 mg tid. Staff observes increased agitation, pressured speech, poor personal hygiene, and hyperactivity. Which action demonstrates that the nurse understands the most likely cause of the patients behavior?
Consider the need to check the lithium level. The patient may not be swallowing me
