Exam 16: Bipolar Spectrum Disorders

A person is directing traffic on a busy street and 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 with bipolar disorder and who takes lithium telephones the nurse at the clinic 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 should advise the patient:

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

The spouse of a patient with bipolar disorder asks what evidence supports the possibility of genetic transmission of bipolar disorders.Select the nurse's best response.

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 nurse receives this laboratory result: lithium level 1 mEq/L.This result is:

A patient with acute mania has exhausted the staff members by noon.The patient has joked,manipulated,insulted,and fought all morning.Staff members are feeling defensive and fatigued.Which is the best action?

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

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

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

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

After hospital discharge,what is the priority intervention for a patient with bipolar disorder,who is taking antimanic medication,and for the patient's family?

Which nursing diagnosis would most likely apply to both a patient with depression and one with acute mania?

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

A patient with bipolar disorder has rapid cycles.The health care provider prescribes an anticonvulsant medication.To prepare teaching materials,which drug should the nurse anticipate will be prescribed?

This nursing diagnosis applies to a patient with 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: