Exam 17: Bipolar and Related Disorders

The nursing instructor is teaching about bipolar disorders. Which symptom should the instructor include that is present during a manic episode but is absent in hypomania?

A client has been diagnosed with major depressive episode. After treatment with an antidepressant, the client exhibits pressured speech and flight of ideas. Based on this symptom change, which information should the nurse share with the health-care provider?

The nurse is assessing a teenaged client diagnosed with cyclothymic disorder. Which DSM-5 diagnostic criteria would the nurse expect this client to meet? (Select all that apply.)

The client diagnosed with bipolar disorder intentionally overdoses on antidepressants. Family members report that the client has experienced a relationship break-up, anorexia, and a recent job loss. Which nursing diagnosis is the priority based upon the client's signs and symptoms?

Which premise is basic to the recovery model used to treat clients diagnosed with bipolar disorder?

The nurse presents a staff development session about the various challenges in the treatment of clients diagnosed with bipolar disorder. Which factor should the nurse include that is an essential component of relapse prevention?

The health-care provider prescribes lithium carbonate (Eskalith) and olanzapine (Zyprexa) for a client with severe manic episodes. The client's spouse asks the nurse how Zyprexa works. Which response would the nurse make?

Which information would the nurse include in a teaching session about predisposing factors in the development of bipolar disorder, mania episode? (Select all that apply.)

The client with bipolar disorder refuses to take lithium carbonate (Lithobid) because of excessive weight gain. In order to increase adherence, which anticonvulsant medication should the nurse be prepared to administer?

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 chart entry would the nurse document for this client's behavior?

Which statement by the client indicates successful teaching about taking lithium carbonate (Lithobid) for the treatment of bipolar disorder?

Which information should the nurse include when teaching parents who have children or adolescents with symptoms of bipolar disorder? (Select all that apply.)

____________________ is an alteration in mood that is expressed by feelings of elation, inflated self-esteem, grandiosity, hyperactivity, agitation, racing thoughts, and accelerated speech.

The client diagnosed with bipolar disorder: manic episode has a goal of gaining 2 lbs. ( 0.91 kg.) by the end of the week. Which action would the nurse take to achieve this outcome?

The client taking lithium carbonate (Lithobid) presents to an emergency department with a temperature of 101°F (38°C), severe diarrhea, blurred vision, and tinnitus. Which interpretation should the nurse make regarding these symptoms?