Exam 26: Bipolar Disorders

A hyperactive, aggressive patient diagnosed with bipolar disorder threatens to physically assault another patient.What initial nursing intervention should be implemented?

A nurse presents a psychoeducational program to patients diagnosed with bipolar disorder and their families.Information about which collection of signs associated with an impending relapse of mania should be included?

The nurse prepares to take vital signs for a patient experiencing mania.What is the nurse's best intervention when the patient's talking interferes with the assessment?

A nurse presents a psychoeducational program to patients diagnosed with bipolar disorder and their families.Information about which collection of signs associated with an impending relapse of depressive episode should be included?

A nurse teaching about bipolar disorder should inform patients and their families of possible depressive symptoms.Which symptoms should the nurse include? (Select all that apply.)

What are the best menu selections for lunch for a hyperactive patient during a manic episode? (Select all that apply.)

During community lunch, a manic patient tells another patient, "Push yourself away from the table.You're too fat for your own good!" Which intervention demonstrates the nurse's best ability to manage the milieu?

A nurse assesses a new patient experiencing a manic episode.Which behavior is most likely to have occurred before hospitalization?

A patient diagnosed with bipolar disorder is laughing and giddy one minute and seconds later is angry and sarcastic.How should the nurse document the patient's mood?

Which indicator of disordered communication is the nurse most likely to assess in a patient having a manic episode?

Which principle is most useful and effective when interacting with a patient experiencing a manic episode?

A patient is hospitalized with new onset of manic behavior.It would be important for the nurse to inspect and report results of which laboratory tests? (Select all that apply.)

A patient offers to lead the next medication group session stating, "I have studied all the effects and problems with drugs on the Internet, so I can answer patients' questions." How should the nurse document this finding?

A patient has been diagnosed with cyclothymic disorder.Which assessment data provided by the patient support this diagnosis? (Select all that apply.)

A newly admitted patient experiencing a manic episode is verbally and physically aggressive.The plan for care should include which interventions to minimize the risk of injury and manage the milieu effectively?

The spouse of a patient diagnosed with bipolar I disorder says, "We want to have children, but I worry they could inherit this problem.There is also bipolar disorder on my side of the family." What is the nurse's most appropriate action to address the spouse's concern?

A medication teaching plan for a patient receiving lithium should include which instruction?

Within a 15-minute period, a patient having a manic episode states, "Dinner was cold and the solarium is too hot.I have a sore throat and there is no clean towel for my shower." What action should the nurse take to address the patient's concerns?