Exam 13: Bipolar and Related Disorders

A patient diagnosed with bipolar disorder is dressed in a red leotard and bright scarves.The patient twirls and shadow boxes.The patient says gaily,"Do you like my scarves? Here; they are my gift to you." How should the nurse document the patient's mood?

An outpatient diagnosed with bipolar disorder takes lithium carbonate 300 mg three times daily.The patient reports nausea.To reduce the nausea most effectively,the nurse suggests that the lithium be taken with:

Which documentation indicates that the treatment plan for a patient diagnosed with acute mania has been effective?

A patient diagnosed with acute mania has distributed pamphlets about a new business venture on a street corner for 2 days.Which nursing diagnosis has priority?

A patient diagnosed with bipolar disorder commands other patients,"Get me a book.Take this stuff out of here," and other similar demands.The nurse wants to interrupt this behavior without entering into a power struggle.Which initial approach should the nurse select?

The exact cause of bipolar disorder has not been determined; however,for most patients:

A patient experiencing acute mania undresses in the group room and dances.The nurse intervenes initially by:

A patient waves a newspaper and says,"I must have my credit card and use the computer right now.A store is having a big sale,and I need to order 10 dresses and four pairs of shoes." Select the nurse's appropriate intervention.The nurse:

A patient with acute mania has disrobed in the hall three times in 2 hours.The nurse should:

A patient diagnosed with bipolar disorder will be discharged tomorrow.The patient is taking a mood stabilizing medication.What is the priority nursing intervention for the patient as well as the patient's family during this phase of treatment?

Consider these three anticonvulsant medications: divalproex (Depakote),carbamazepine (Tegretol),and gabapentin (Neurontin).Which medication also belongs to this classification?

Which dinner menu is best suited for a patient with acute mania?

Which nursing diagnosis would most likely apply to both a patient diagnosed with major depression as well as one experiencing acute mania?

A patient demonstrating behaviors associated with acute mania has exhausted the staff by noon.Staff members are feeling defensive and fatigued.Which action will the staff take initially?

A person was directing traffic on a busy street,rapidly shouting,"To work,you jerk,for perks" and making obscene gestures at cars.The person has not slept or eaten for 3 days.Which assessment findings will have priority concern for this patient's plan of care?

A patient tells the nurse,"I'm ashamed of being bipolar.When I'm manic,my behavior embarrasses everyone.Even if I take my medication,there are no guarantees.I'm a burden to my family." These statements support which nursing diagnoses? Select all that apply.

A newly diagnosed patient is prescribed lithium.Which information from the patient's history indicates that monitoring of serum concentrations of the drug will be challenging and critical?

A nurse assesses a patient who takes lithium.Which findings demonstrate evidence of complications?