Bipolar

Question 1

Define manic episode

Answer 1

A distinct period of abnormal and persistent elevated expansive or irritable mood lasting at least 1 week

Question 2

Hypomania

Answer 2

3 symptoms of mania lasting for 4 days. Doesn’t cause any disruption in functionality but must be observed by others

Question 3

What is the characteristics for rapid cycling in bipolar disorder?

Answer 3

4 or more cycles of mania and depression in one year

Question 4

Priority of bipolar

Answer 4

Safety, nutrition, no demands, no punishment, no responsibility

Question 5

Three organ systems affected by lithium

Answer 5

Thyroid: hypothyroidism, kidneys: decreased concentration ability, and nervous system: tremor and decreased motor coordination

Question 6

A client with bipolar disorder has been receiving lithium for 2 weeks. What are signs that indicate lithium toxicity?

Answer 6

hypotonic reflexes with muscles weakness, fever, confusion, decreased BP, decreased urine output, irregular pulse

Question 7

A client came to the psych unit 2 days ago. She has a history of bipolar disorder, is in the manic phase and stopped taking lithium 2 weeks ago. What would the nurse LEAST likely see and why?

Answer 7

Increased appetite. Manic clients are usually unwilling or unable to slow down enough to eat

Question 8

What communication guidelines should a nurse use when talking with a manic client?

Answer 8

Focus and redirect the conversation as necessary. This decreases stimulation.

Question 9

A client who just had electroconvulsive therapy asks for a drink. What is the priority assessment with this request?

Answer 9

Monitor for gag reflex. ETC can reduce gag reflex.

Question 10

What are some adverse effects of Electroconvulsive therapy?

Answer 10

Respiratory arrest and short term memory loss

Question 11

A client with bipolar disorder who complains of headaches, agitation, and indigestion most likely is experiencing what problem?

Answer 11

hypomania

Question 12

What high risk behavior should a nurse assess for in a client with bipolar disorder who abruptly stopped taking prescribed medication?

Answer 12

Thoughtless spending

Question 13

What intervention is important to teach a client with bipolar disorder to maintain adequate nutrition?

Answer 13

Give the client food to be eaten while he’s active

Question 14

What is important to teach a client with bipolar disorder who is pregnant and taking lithium?

Answer 14

Use of lithium usually results in serious congenital problems

Question 15

What is a short term goal for a client with bipolar disorder who is having difficulty sleeping?

Answer 15

Develop a sleep ritual

Question 16

Why is it necessary to take frequent blood work while on lithium?

Answer 16

To determine if the client’s dosage is therapeutic and to prevent lithium toxicity

Question 17

What should be discussed with the family of a client who has manic behavior?

Answer 17

Ways to protect self from client’s behavior

Question 18

When selecting a room for a client that is hyperactive and talking nonstop, the most important factor would be:

Answer 18

an atmosphere be quiet and restful, non stimulating

Question 19

Initial nursing care plan for bipolar I disorder should include what?

Answer 19

Provide food, fluids, rest, and a structured environment

Question 20

The environment of client is type II bipolar disorder with hypomanic episodes should include:

Answer 20

A private rom to provide a quiet atmosphere

Question 21

A bipolar patient becomes loud, vulgar, and disturbs other clients. The nurse should:

Answer 21

Segregate the client until this phase of her illness passes

Question 22

what risk increases with substance abuse of manic patients?

Answer 22

Risk of suicide