Exam 14: Bipolar Disorders

A patient with acute mania has been verbally abusive to staff since admission 3 hours ago.The patient says,"I can't believe you have a nursing license.I am not answering your stupid questions.You should pick another career." Select the nurse's best response.

A patient with acute mania dances atop a pool table,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 who takes lithium phones the nurse at the clinic to say,"I've had diarrhea for 4 days.I feel weak and unsteady when I walk.My usual hand tremor has gotten worse.What should I do?" Which instruction by the nurse is appropriate?

Which nursing diagnosis is a priority for both a patient with depression and one with acute mania?

A patient with bipolar disorder has rapid cycles.To prepare teaching materials,the nurse anticipates which medication will be prescribed?

The nursing diagnosis for a patient with mania is Imbalanced nutrition: less than body requirements related to caloric intake insufficient to balance with hyperactivity as evidenced by 5 lb weight loss in 4 days.Select the most appropriate outcome.The patient will:

A patient with acute mania has exhausted staff by noon after joking,manipulating,and insulting all morning.Staff members feel defensive and fatigued.Select the best action.

Prior to admission,a patient was directing traffic,shouting "to work,you jerk,for perks," and making obscene gestures at cars.The patient's spouse reports noncompliance with lithium therapy for 3 weeks and not sleeping for 3 days,saying,"I'm too busy." Features characteristic of bipolar disorder the nurse can identify are:

A patient with bipolar disorder has taken lamotrigine (Lamictal)for 3 months with an excellent response.Which complaint from the patient necessitates the nurse's priority attention?

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

Police bring a patient to the mental health unit.The patient was directing traffic and shouting rhymes on a busy city street.The patient's spouse reports that the patient has not slept or eaten for 3 days.Which assessment findings have priority concern for this patient's plan of care?

Which initial nursing intervention should be planned for a newly admitted patient with acute mania?

A patient takes lithium daily.The nurse should monitor the patient for:

A newly admitted patient is dressed in a satin nightgown and jeweled headband.While dancing in the room and shadow boxing,the patient chants,"I'll punch you,munch you,crunch you." Then the patient says gaily,"I am so beautiful.The entire world worships me." How should the nurse document the patient's mood?

A patient tells the nurse,"I am ashamed of having bipolar disorder.When I am manic,my behavior embarrasses my family.Even though I take my medication every day,there is no guarantee that I will not have a relapse.I am a burden to my family." These statements support which nursing diagnoses? (Select all that apply. )

Treatment planning for a patient with grandiose thinking associated with acute mania will focus on:

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

A outpatient with bipolar disorder takes lithium carbonate 600 mg BID.The patient complains of nausea.To lessen the nausea,the nurse can suggest taking the lithium with:

A patient with acute mania has disrobed in the hall 3 times in 2 hours.The nurse should:

During a manic episode,a patient is hyperactive,restless,and disorganized.The patient goes to the dining room and begins to throw food and dishes.Verbal intervention is ineffective.The patient's behavior poses a substantial risk of harm to others.Staff escorts the patient to the patient's room to dine alone.What is the rationale for this action?