Bipolar Spectrum Disorders

This question bank verified by Studydeets

Questions Bank

Practicing the Science and Art of Psychiatric Nursing
Mental Health and Mental Illness
Theories and Therapies
Biological Basis for Understanding Psychopharmacology
Settings for Psychiatric Care
Legal and Ethical Basis for Practice
Nursing Process and QSEN: The Foundation for Safe and Effective Care
Communication Skills: Medium for All Nursing Practice
Therapeutic Relationships and the Clinical Interview
Trauma and Stress-Related Disorders
Anxiety, Anxiety Disorders, and Obsessive-Compulsive and Related Disorders
Somatic Symptom Disorders and Dissociative Disorders
Personality Disorders
Eating Disorders
Mood Disorders: Depression
Bipolar Spectrum Disorders
Schizophrenia Spectrum Disorders and Other Psychotic Disorders
Neurocognitive Disorders
Substance-Related and Addictive Disorders
Crisis and Mass Disaster
Child, Partner, and Elder Violence
Sexual Violence
Suicidal Thoughts and Behavior
Anger, Aggression, and Violence
Care for the Dying and Those Who Grieve
Children and Adolescents
Adults
Older Adults

All Questions

Question 1

Free

Multiple Choice

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?

Choose correct answer/s

Increased muscle tension and anxiety

Vegetative signs and poor grooming

Poor judgment and hyperactivity

Cognitive deficit and sad mood

Check answer

Question 2

Free

Multiple Choice

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?

Choose correct answer/s

Labile and euphoric

Irritable and belligerent

Highly suspicious and arrogant

Excessively happy and confident

Check answer

Question 3

Free

Multiple Choice

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

Choose correct answer/s

Risk for injury

Ineffective coping

Impaired social interaction

Ineffective therapeutic regimen management

Check answer

Question 4

Free

Multiple Choice

A patient diagnosed with bipolar disorder is hyperactive and manic after discontinuing lithium. The patient threatens to hit another patient. Which comment by the nurse is appropriate?

Choose correct answer/s

"Stop that! No one did anything to provoke an attack by you."

"If you do that one more time, you will be secluded immediately."

"Do not hit anyone. If you are unable to control yourself, we will help you."

"You know we will not let you hit anyone. Why do you continue this behavior?"

Check answer

Question 5

Free

Multiple Choice

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:

Choose correct answer/s

ask staff for assistance with feeding within 4 days.

drink six servings of a high-calorie, high-protein drink each day.

consistently sit with others for at least 30 minutes at mealtime within 1 week.

consistently wear appropriate attire for age and sex within 1 week while in the psychiatric unit.

Check answer

Question 6

Multiple Choice

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:

Choose correct answer/s

minimize the side effects of lithium.

bring hyperactivity under rapid control.

enhance the antimanic actions of lithium.

provide long-term control of hyperactivity.

To unlock the question

Question 7

Multiple Choice

A patient diagnosed 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?

Choose correct answer/s

Phenytoin (Dilantin)

Clonidine (Catapres)

Carbamazepine (Tegretol)

Chlorpromazine (Thorazine)

To unlock the question

Question 8

Multiple Choice

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

Choose correct answer/s

several factors, including genetics, are implicated.

brain structures were altered by trauma early in life.

excess norepinephrine is probably a major factor.

excess sensitivity in dopamine receptors may exist.

To unlock the question

Question 9

Multiple Choice

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

Choose correct answer/s

"A high proportion of patients diagnosed with bipolar disorders are found among creative writers."

"A higher rate of relatives diagnosed with bipolar disorder is found among patients with bipolar disorder."

"Patients diagnosed with bipolar disorder have higher rates of relatives who respond in an exaggerated way to daily stresses."

"More individuals diagnosed with bipolar disorder come from high socioeconomic and educational backgrounds."

To unlock the question

Question 10

Multiple Choice

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.

Choose correct answer/s

Distraction: "Let's go to the dining room for a snack."

Humor: "How much are you paying servants these days?"

Limit setting: "You must stop ordering other patients around."

Honest feedback: "Your controlling behavior is annoying others."

To unlock the question

Question 11

Multiple Choice

A nurse receives this laboratory result for a patient diagnosed with bipolar disorder: lithium level 1 mEq/L. This result is:

Choose correct answer/s

within therapeutic limits.

below therapeutic limits.

above therapeutic limits.

likely to be inaccurate.

To unlock the question

Question 12

Multiple Choice

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

Choose correct answer/s

Clonazepam (Klonopin)

Risperidone (Risperdal)

Lamotrigine (Lamictal)

Aripiprazole (Abilify)

To unlock the question

Question 13

Multiple Choice

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

Choose correct answer/s

Allow the patient to act out his or her feelings.

Set limits on the patient's behavior as necessary.

Provide verbal instructions to the patient to remain calm.

Restrain the patient to reduce hyperactivity and aggression.

To unlock the question

Question 14

Multiple Choice

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

Choose correct answer/s

Extra-large window with a view of the street

Neutral walls with pale, simple accessories

Brightly colored walls and print drapes

Deep colors for walls and upholstery

To unlock the question

Question 15

Multiple Choice

A patient experiencing 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?

Choose correct answer/s

Confer with the health care provider regarding use of seclusion for this patient.

Hold a staff meeting to discuss consistency and limit setting approaches.

Conduct a meeting with all patients to discuss the behavior.

Explain to the patient that the behavior is unacceptable.

To unlock the question

Question 16

Multiple Choice

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

Choose correct answer/s

quietly ask the patient, "Why don't you put on your clothes?"

firmly tell the patient, "Stop dancing, and put on your clothing."

put a blanket around the patient, and walk with the patient to a quiet room.

allow the patient stay in the group room. Move the other patients to a different area.

To unlock the question

Question 17

Multiple Choice

A patient experiencing 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.

Choose correct answer/s

Suggest to the patient to ask a friend do the shopping and bring purchases to the unit.

Invite the patient to sit with the nurse and look at new fashion magazines.

Tell the patient that computer use is not allowed until self-control improves.

Ask whether the patient has enough money to pay for the purchases.

To unlock the question

Question 18

Multiple Choice

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:

Choose correct answer/s

meals.

an antacid.

a large glass of juice.

an antiemetic medication.

To unlock the question

Question 19

Multiple Choice

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

Choose correct answer/s

maintain normal salt and fluids in the diet.

drink twice the usual daily amount of fluids.

double the lithium dose if diarrhea or vomiting occurs.

avoid eating aged cheese, processed meats, and red wine.

To unlock the question

Question 20

Multiple Choice

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

Choose correct answer/s

Deficient diversional activity

Disturbed sleep pattern

Fluid volume excess

Defensive coping

To unlock the question