Exam 16: Bipolar Spectrum Disorders

This nursing diagnosis applies to a patient experiencing 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 the most appropriate outcome. The patient will:

Which nursing diagnosis would most likely apply to both a patient diagnosed with major depressive disorder (MDD) as well as one experiencing acute mania?

A patient diagnosed with bipolar disorder has been hospitalized for 7 days and has taken lithium 600 mg three times daily. Staff members observe increased agitation, pressured speech, poor personal hygiene, hyperactivity, and bizarre clothing. What is the nurse's best intervention?

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

A person is directing traffic on a busy street while shouting and making obscene gestures at passing cars. The person has not slept or eaten for 3 days. What features of mania are evident?

A patient experiencing mania has not eaten or slept for 3 days. Which nursing diagnosis has priority?

A patient diagnosed with bipolar disorder is being treated on an outpatient basis with lithium carbonate 300 mg three times daily. The patient complains of nausea. To reduce the nausea, the nurse can suggest that the lithium be taken with:

A patient experiencing acute mania is dancing atop the 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." The nurse's first intervention is to:

A patient tells the nurse, "I am so ashamed of being bipolar. When I'm manic, my behavior embarrasses my family. Even if I take my medication, there's no guarantee I won't have a relapse. I am such a burden to my family." These statements support which nursing diagnoses? (Select all that apply.)

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

A patient experiencing mania dances around the unit, seldom sits, monopolizes conversations, interrupts, and intrudes. Which nursing intervention will best assist the patient with energy conservation?

A patient diagnosed with bipolar disorder is dressed in a red leotard and brightly colored scarves. The patient sings while twirling and shadowboxing. Then 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?

A patient develops mania after discontinuing lithium. New prescriptions are written to resume lithium twice daily and begin olanzapine (Zyprexa). The addition of olanzapine to the medication regimen will:

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

The cause of bipolar disorder has not been determined, but:

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. Select the best initial approach by the nurse.

A patient receiving lithium should be assessed for which evidence of complications?

At a unit meeting, staff members discuss the decor for a special room for patients experiencing mania. Select the best option.

A patient experiencing acute mania undresses in the group room and dances. The nurse's first intervention would be to:

Lithium is prescribed for a new patient. Which information from the patient's history indicates that monitoring serum concentrations of the drug will be especially challenging and critical?