Exam 26: Bipolar and Related Disorders

A highly agitated client paces the unit and states,"I could buy and sell this place." The client's mood fluctuates from fits of laughter to outbursts of anger.Which is the most accurate documentation of this client's behavior?

An adult client diagnosed with Bipolar I Disorder is prescribed lamotrigine (Lamictal),400 mg three times a day,for mood stabilization.Which statement about this medication order is true?

A client and nurse therapist are developing a treatment plan that includes strategies to manage bipolar disorder.Which should be included? Select all that apply.

A client on an inpatient unit is diagnosed with Bipolar Disorder: Manic Episode.During a discussion in the dayroom about weekend activities,the client raises his voice,becomes irritable,and insists that plans change.Which should be the nurse's initial intervention?

Which tool should the nurse use to differentiate occasional spontaneous behaviors of children from behaviors associated with bipolar disorder?

A newly admitted client is experiencing a manic episode of bipolar I disorder and presents as very agitated.The nurse should assign which priority nursing diagnosis to this client?

A client is diagnosed with Bipolar I Disorder: Manic Episode.Which nursing intervention should be implemented to achieve the outcome of "Client will gain 2 pounds by the end of the week?"

A client diagnosed with Bipolar I Disorder is distraught over insomnia experienced over the last 3 nights and a 12-pound weight loss over the past 2 weeks.Which should be this client's priority nursing diagnosis?

The inpatient psychiatric unit is being redecorated.At a unit meeting,staff discusses bedroom décor for clients experiencing mania.The nurse manager evaluates which suggestion as most appropriate?

A client began taking lithium for the treatment of bipolar disorder approximately 1 month ago.The client asks if it is normal to have gained 12 pounds in this time frame.Which is the appropriate nursing reply?

A client is diagnosed with Cyclothymic Disorder.Which client behaviors should the nurse expect to assess?

A nursing instructor is discussing various challenges in the treatment of clients diagnosed with Bipolar Disorder.Which student statement demonstrates an understanding of the most critical challenge in the care of these clients?

A client diagnosed with Bipolar Disorder states,"I hate oatmeal.Let's get everybody together to do exercises.I'm thirsty and I'm burning up.Get out of my way;I have to see that guy." Which is the priority nursing action?

After teaching a client about lithium carbonate (Lithane),the nurse would conclude teaching was successful based on which client statement?

The nurse begins the intake assessment of a client diagnosed with Bipolar I Disorder.The client shouts,"You can't do this to me.Do you know who I am?" Which is the priority nursing action in this situation?

Which client statement indicates to the nurse that the client understands dietary teaching related to lithium carbonate (Lithobid)treatment?

A client diagnosed with Bipolar I Disorder is exhibiting severe manic behaviors.A physician prescribes lithium carbonate (Eskalith)and olanzapine (Zyprexa).The client's spouse questions the Zyprexa order.Which is the appropriate nursing reply?

Which of the following explanations should the nurse include when teaching parents why it is difficult to diagnose a child or adolescent exhibiting symptoms of bipolar disorder? Select all that apply.

A nursing instructor is teaching about the prevalence of bipolar disorder.Which student statement indicates learning has occurred?

The nurse learns at report that a newly admitted client experiencing mania is demonstrating grandiose delusions.The nurse should recognize that which client statement provides supportive evidence of this symptom?