Bipolar Questions

A healthcare provider prescribes lithium carbonate for a client with bipolar disorder, depressive episode. What instructions will the nurse include when teaching the client about lithium? Select all that apply.

Take the medication with food. It may take several weeks for beneficial results to occur. You do not have to restrict your intake of dietary sodium.

A man with bipolar disorder, manic episode, has been traveling around the country, dating multiple women, and buying his dates expensive gifts. He is admitted to the hospital when he becomes exhausted and runs out of money. The nurse anticipates that during a manic episode the client is most likely experiencing feelings of what?

Grandeur

A nurse is planning an educational program for family members of clients with bipolar disorder. What clinical manifestations indicating the beginning of an episode of mania should the nurse include? Select all that apply.

Insomnia Irritability Financial irresponsibility

The nurse is admitting a client with a history of bipolar disorder. The nurse determines that the client is in the manic phase. Which signs and symptoms contribute to the nurse's conclusion? Select all that apply.

Irritability Grandiosity Pressured speech

The nurse cares for a client diagnosed with bipolar disorder who was prescribed drug therapy. Laboratory reports reveal that the client's thyroxine levels are low. Which drug might have led to this condition?

Lithium

Which drug does the nurse recognize as an effective mood-stabilizing drug used in clients with bipolar disorder and in the acute treatment of mania and prevention of recurrent mania and depressive episodes?

Lithium carbonate

What is the best nursing intervention when the language of a client in the manic phase of a bipolar disorder becomes vulgar and profane?

Recognizing that the behavior is part of the illness but setting limits on it

What should the nurse include when developing a plan of care for a client in the manic phase of bipolar disorder?

Redirecting the client's excess energy to more constructive activities

A client with the diagnosis of bipolar disorder, manic episode, attends a mental health day treatment program. What supervised activity will be most therapeutic for this client during the early phase of treatment?Correct3

Walking around the facility with a nurse

One day while shaving, a male client with the diagnosis of bipolar disorder tells the nurse, "I've hidden a razor blade, and tonight I'm going to kill myself." What is the best reply by the nurse?

"You're going to kill yourself?"

A nurse is admitting a client with a history of bipolar disorder. The nurse determines that the client is in the depressive phase of the disorder. Identify the signs and symptoms that support the nurse's conclusion. Select all that apply.

Apathy, loss of appetite, sleep disturbances,

A 25-year-old woman with the diagnosis of bipolar disorder, manic episode, is admitted to the psychiatric unit. A nurse on the unit reviews the admission information provided by the client's husband and assesses the client. In light of the information in the chart, what is an appropriate nursing intervention?

Assigning the client to a private room

Which antiseizure drugs are used to stabilize a client's mood by suppressing mania associated with bipolar disorder (BPD)? Select all that apply.

Carbamazepine Divalproex sodium

A client who is in a manic phase of bipolar disorder threatens staff and clients on a psychiatric acute care unit. Place these interventions in priority order, from the least to the most restrictive.

Diversional activities Limit-setting Medication administration Seclusion Restraints

A client with bipolar disorder is exhibiting accelerating activity and flight of ideas. What is the best nursing intervention to limit the accelerating manic behavior?

Engaging the client in conversation while walking slowly in the hall

A client with bipolar disorder is aggressive and disruptive in group and social settings. How will the nurse initially work with the client to develop social skills?

Facilitating one-on-one interactions

The nurse assesses a client with the diagnosis of bipolar disorder, manic episode. Which clinical findings support the diagnosis? Select all that apply.

Grandiosity Talkativeness Distractibility

A 32-year-old client is hospitalized with a diagnosis of a bipolar disorder, manic episode. The client becomes loud and vulgar and disturbs the other clients. What is the best reaction by the nurse to this situation?

Segregating the client until this phase of the illness passes

Lithium is prescribed for a client with bipolar disorder experiencing a manic episode. When teaching the client about this medication, the nurse will emphasize which fact about lithium?

Should temporarily be stopped and the primary healthcare provider notified if diarrhea results

The nurse assesses a client with bipolar disorder. While reviewing the laboratory reports, the nurse finds the client's lithium levels are 1.3 mEq/L (1.3 mmol/L). Which nursing intervention would be appropriate in this client?

Continue to administer the drug