Exam 13: Bipolar and Related Disorders

The nurse receives a laboratory report indicating a patient's serum level is 1 mEq/L.The patient's last dose of lithium was 8 hours ago.This result is:

A patient experiencing acute mania is dancing atop a pool table in the recreation room.The patient waves a cue in one hand and says,"I'll throw the pool balls if anyone comes near me." To best assure safety,the nurse's first intervention is to:

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:

A health teaching plan for a patient taking lithium should include instructions to:

When a hyperactive patient diagnosed with acute mania is hospitalized,what is the initial nursing intervention?

Which suggestions are appropriate for the family of a patient diagnosed with bipolar disorder who is being treated as an outpatient during a hypomanic episode? Select all that apply.

Four new patients were admitted to the behavioral health unit in the past 12 hours.The nurse directs a psychiatric technician to monitor these patients for safety.Which patient will need the most watchful supervision? A patient diagnosed with:

Outcome identification for the treatment plan of a patient experiencing grandiose thinking associated with acute mania will focus on:

A patient diagnosed with bipolar disorder is in the maintenance phase of treatment.The patient asks,"Do I have to keep taking this lithium even though my mood is stable now?" Select the nurse's appropriate response.

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:

The plan of care for a patient in the manic state of bipolar disorder should include which interventions? Select all that apply.

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?

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?

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?

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 patient's behavior?

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 provide?

A nurse prepares the plan of care for a patient experiencing an acute manic episode.Which nursing diagnoses are most likely? Select all that apply.

An outpatient diagnosed with bipolar disorder is prescribed lithium.The patient telephones the nurse to say,"I've had severe diarrhea for 4 days.I feel very weak and unsteady when I walk.My usual hand tremor has gotten worse.What should I do?" The nurse will advise the patient to:

At a unit meeting,the staff discusses decor for a special room for patients with acute mania.Which suggestion is appropriate?

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?