Video Case Study Bipolar Disorder
"I'm not comfortable with your comment. I'm here to help you with your problems." If the client makes an inappropriate comment, the nurse should respond in a calm, matter-of-fact tone. The nurse should identify that the comment causes discomfort and then restate the nursing role. This helps maintain boundaries in the therapeutic relationship.
A nurse is caring for a client who has bipolar disorder. The client states, "You are so good looking. Let's go out on a date." Which of the following statements should the nurse make?
Fish sticks with apple slices and a vanilla milkshake. The nurse should offer the client frequent intake of protein, fiber and high-calorie foods and fluids to prevent weight loss, constipation, and exhaustion due to manic behavior. This meal selection meets these dietary needs while providing finger foods that are easy for the client to eat while up and moving around, because it is diffcult for a client experiencing mania to sit down and eat a meal.
A nurse is making dietary selections for a client who is in the manic phase of bipolar disorder. Which of the following choices should the nurse select for the client's lunch?
Clang associations The nurse should expect a client who is in the manic phase of bipolar disorder to exhibit clang associations. This speech pattern is characterized by the client's use of words that rhyme without regard for meaning. The client can also exhibit speech that is rapid, disorganized, and possibly sexually explicit or vulgar.
A nurse is performing an admission assessment for a client who has bipolar disorder and is in the manic phase. Which of the following fndings should the nurse expect?
Muscle weakness The nurse should identify muscle weakness as an early indication of lithium toxicity. Other early indications include diarrhea, nausea and vomiting, polyuria, thirst, lethargy, slurred speech, and tne hand tremors. The nurse should instruct the client and family to withhold lithium and notify the provider if these indicators of toxicity are present.
A nurse is providing discharge teaching with the family of a client who has bipolar disorder and a prescription for lithium. The nurse should identify which of the following findings as an early indication of lithium toxicity?
Promote rest in a quiet environment with decreased client stimulation. The greatest risk to this client is injury and exhaustion resulting from manic behavior due to increased stimulation. Therefore, the priority intervention is to encourage frequent rest periods and sleep in a quiet environment with decreased client stimulation from noise or other clients
A nurse on an acute mental health unit is planning care for a client who has bipolar disorder and is experiencing acute mania. Which of the following interventions should the nurse identify as the priority?
