Exam 16: Bipolar Spectrum Disorders

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

A patient with acute mania 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 most appropriate intervention.

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

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

A patient with bipolar disorder,who is being treated on an outpatient basis,takes 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 person is directing traffic on a busy street and shouting,"To work,you jerk,for perks," and making obscene gestures at cars.The person has not slept or eaten for 3 days.What features of mania are evident?

A patient 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 most appropriate response.

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

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

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

A patient with bipolar disorder is dressed in a red leotard and brightly colored scarves.The patient says,"I'll punch you,munch you,crunch you," 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 with bipolar disorder is hyperactive after discontinuing lithium and has not slept for 3 days.The patient threatens to hit another patient.Which comment by the nurse is appropriate?

Consider these three drugs: divalproex (Depakote),carbamazepine (Tegretol),and gabapentin (Neurontin).Which drug also belongs to this group?

A patient with 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 with bipolar disorder was hospitalized 7 days earlier and has been taking 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 patient with 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 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.

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

Which dinner menu is best suited for the patient with bipolar disorder experiencing acute mania?

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