A client with bipolar disorder is at high risk of self-harm. Irritability, belligerence, excessive happiness, and confidence a. What is the priority nursing intervention for the patient as Various theories implicate genetics, endocrine imbalance, Select all that apply. A store is having a big sale, and I need to order 10 dresses and four pairs of a. Remembering the most important assignment you have to complete for school tomorrow. TOP: Nursing Process: Implementation MSC: Client Needs: Safe, Effective Care Environment. Which electrolyte imbalance would the nurse expect to be present in an elderly client receiving a serotonergic antidepressant? This infant is at highest risk because of age and premature status. REF: Pages 13-12, 19, 44 (Table 13-2) | Page 13-14; also incorporates content from ANS: A Which intervention would be the priority of the nurse for a client who is diagnosed with risk-prone health behavior? disturbances. Which statement made by the student nurse indicates effective teaching regarding care for a client with antisocial personality disorder? While caring, the nurse offers an empathetic response to the client's feelings. Which therapy is the client undergoing? b. Vegetative signs and poor grooming Select the nurses appropriate response. Match the term below with its correct definition. G. Discuss the major diagnostic categories, including anxiety disorders, bipolar and related disorders, depressive disorders, obsessive-compulsive and related disorders, and their corresponding symptoms. The exact cause of bipolar disorder has not been determined; however, for most patients a. several factors, including genetics, are implicated. entirely reasonable. Which daily dose range of lorazepam would the nurse expect a primary health-care provider to prescribe to an adult client with panic disorder? The incorrect options Ans: A The person has not slept or eaten to allow the client to maintain control over eating habits. a. within therapeutic limits. CH 17 FA DAVIS Bipolar and Related Disorders Term 1 / 23 An intake nurse is assessing a 22-year-old patient who presents with abnormally elevated mood, pressured speech, flight of ideas, and grandiosity, which has lasted for 10 days. Which statement made by the client's parent would support this suspicion? -abstinence from alcohol and better nutrition will help resolved your condition. The patient is taking At this time, the client is exhibiting signs of a manic high. Their socialization is impaired but not Which therapy would be beneficial to control this condition in the client? At this time, the client is exhibiting signs of a manic high. Which intervention would the nurse perform to help the client who is on verapamil, a calcium channel-blocker therapy, understand how to mitigate the effects of drowsiness and dizziness? primary importance. Which characteristic symptoms does a client who has social phobia exhibit? The elevated level of which parameter might be the reason for reaching such a conclusion? Select all that apply. Select all that apply. c. Patients with bipolar disorder have higher rates of relatives who respond in an friend do the shopping would not satisfy the patients need for immediacy and would Taking the medication every day helps reduce the risk of a relapse. Which area of the brain may be affected when a client with anxiety disorder shows symptoms related to respiratory activation and increased heart rate? Which of the following are symptoms of social phobia? People with mania are hyperactive and often do not take time to eat and drink properly. Extreme hyperactivity, increased agitation and lack of control over purposeless smd potentially injurious movements. Which statement describes the nurse's expectation of this intervention? REF: Pages 13-11, 12, 15, 16, 44 (Table 13-2) Which does the nurse interpret from these findings? 3. c. lamotrigine these symptoms last only for a couple of weeks if you interact with your child. Which of the following medications would be important to assess for in a patient who presents with acute mania? A) risk for injury related to excessive hyperactivity, In bipolar disorder, recovery is a continuous process, It is considered to be a surgical procedure, Antipsychotics and benzodiazepines - help reduce agitation and anxiety, Slow down speech, inhibit aggression and decrease psychomotor activity, Acute treatment of manic/depressive episodes, Monitor patients for side effects while on lithium, Water and salt are very important to lithium because. the client feels shy and is sensitive to rejection. the dose to be increased. Which feature can be observed in a client with obsessive-compulsive personality disorder? Which statement made by the registered nurse regarding bipolar disorder is true? Stop that! Asking if the patient is bothered by clothing serves no purpose. Substance/Medication-Induced Bipolar and Related Disorder Diagnostic Criteria: A. While caring for a client with schizophrenia, the nurse finds that the client has aggressive body language, catatonic excitement, and command hallucinations. c. Self-esteem. A female client is on hormonal replacement therapy because of hormonal imbalance. a. Select all that apply. The therapists gradually withheld the rewards unless she ate more and more. autonomic nervous system A. system that regulates the body's vital functions B. the outer layer of the brain C. basic building blocks of heredity D. chemicals that transmit messages in the nervous systems E. system that transmits messages between the central nervous system and all other parts of the body F. system of glands that secrete hormones into the bloodstream G. the junction between an axon terminal and a dendrite H. a scan that observes the brain at work I. resembling an intricate or complex net J. the forebrain with two hemispheres. b. ANS: C Suspiciousness is not evident. Which behavior of the client enables the nurse to have this suspicion? Telling the patient that Which side effect is the nurse trying to reduce in the client by using this intervention? b. A client who witnessed an accident 5 months ago now complains of recurrent memories of the accident. d. Ineffective therapeutic regimen management, A patient diagnosed with bipolar disorder becomes hyperactive after discontinuing lithium. Hyperactivity and poor eaten without utensils. c. interest in the environment. "On depressed woman would not eat and was in danger of dying of starvation, but she seemed to enjoy visitors and the TV set, radio, books and magazines, and flowers in her room. The nurse is assessing the patient and observes a flat affect, some bizarre behaviors with odd beliefs, suspiciousness, and tangential speech. i can't remember what happened during my accident. While caring for a client with paranoia, the nurse implements family-style serving of food to the client. A client is diagnosed with obsessive-compulsive disorder (OCD). Because psychologists' scientific and professional judgments and actions may affect the lives of others, they are alert to and guard against personal, financial, social, organizational, or political factors that might lead to misuse of their influence." Bipolar Disorder. the client plays a leading role in a group activity without expressing grandiosity. Which medication regulates the influx and outflow of calcium from the cells through the expression of CACNA1C protein? Which medication classes are approved to treat PTSD? Which response by the nurse is appropriate? TOP: Nursing Process: Diagnosis/Analysis PTS: 1 DIF: Cognitive Level: Analyze (Analysis) Monitoring the patient does not address the problem. Select all that apply. A patient who repeatedly disrobes despite verbal limit setting needs more structure. Select all that apply. While caring for a client with psychiatric illness, the nurse finds that the client frequently pulls out hair from the scalp and eyebrows. ndations of Psychiatric Mental Health Nursing: A Clinical Approach, A person was directing traffic on a busy street, rapidly shouting, To work, you jerk, for, Chapter 07 The Nursing Process and Standards of Care, Chapter 12 Schizophrenia Spectrum Disorders, Chapter 15 Anxiety and Obsessive-Compulsive Disorders, Chapter 16 Trauma, Stressor-Related, and Dissociative Disorders, Chapter 06 Legal and Ethical Considerations, Chapter 22 Substance-Related and Addictive Disorders, Chapter 7, Legal Dimensions of Nursing Practice - Test Bank, A person was online continuously for over 24 hours, posting rhymes on official government - use nonjudgmental patient-centered approach. be set in simple, concrete terms. 13. CH 17 FA DAVIS Bipolar and Related Disorders. Plan) TOP: Nursing Process: Implementation Continued decline in sleep patterns may indicate the d. inadequate norepinephrine reuptake disturbs circadian rhythms. ANS: B b. Remembering the skills you learned early in life, such as walking. What are the approaches used in RAISE? Taking action for change Maintain a healthy lifestyle It is important to maintain a healthy lifestyle. d. Meeting self-care needs, A nurse assesses a patient who takes lithium. When is the best time to draw a medication blood level? There are seven diagnoses included in the bipolar and related disorders section of the . Situations such as this offer an opportunity to use the patients distractibility to staffs A patient diagnosed with bipolar disorder will be discharged tomorrow. Which appropriate actions does the nurse take to promote sleep? evidences euphoria and is labile. The point is to allow patients who require assistance to take control and manage their lives more independently, Eradicating the symptoms of mental illness, Learning how to live a safe, dignified, full and self- determined life in the face of the enduring disability. PTS: 1 DIF: Cognitive Level: Apply (Application), REF: Pages 13-18, 44 (Table 13-2) TOP: Nursing Process: Diagnosis/Analysis PTS: 1 DIF: Cognitive Level: Understand (Comprehension) Which meaning would the nurse attribute to this specifier? d. To produce the neural associations that are the basis of both classical and operant conditioning. No Jill has been experiencing repetitive behaviors in regard to checking her make-up constantly, and this has started to interfere with her daily life. -eating very quickly and until uncomfortably full. A client with bipolar disorder is diagnosed with migraine. a. therefore you will not be exposed to UV rays. ", DIG FAST - acronym for signs and symptoms of Bipolar, Safety assessment for patient with bipolar disorder. Select all that apply. You can ask !. Factor analysis is the test-development strategy that a. develops ambiguous pictures. nursing diagnoses are most likely? Some patients find that taking lithium with meals diminishes nausea. Substance/medication-induced bipolar and related disorder 5. etiology of bipolar disorder. For which medical conditions has eye movement desensitization and reprocessing (EMDR) psychotherapy been shown to be effective? Which action would neomycin produce when a client with alcoholic use disorder is treated for hepatic encephalopathy? How would the nurse respond to the client? Which of the following criteria are needed for a diagnosis of acute stress disorder? Which information provided by the nurse is beneficial to the client? TOP: Nursing Process: Planning MSC: Client Needs: Psychosocial Integrity, Copyright 2022 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Chapter 13: Bipolar and Related Disorders, websites and inviting politicians to join social networks. The specifier supplied for a client diagnosed with bipolar I disorder is "single manic episode." "Psychologists strive to benefit those with whom they work and take care to do no harm. The patient continues to exhibit manic symptoms. Patients diagnosed with bipolar disorder may be maintained on lithium indefinitely to MSC: Client Needs: Physiological Integrity, PTS: 1 DIF: Cognitive Level: Analyze (Analysis) The nurse documents the client's response to the care provided. Karen, who has bipolar disorder, is being assessed by the nurse as she was recently started on lamotrigine. A client who was recently diagnosed with peripheral neuropathy asks the nurse, "My fingers and toes are burning. Which client always chooses solitary activities and has no desire or interest in having any type of social relationships? What are structural or mechanical devices that are designed to minimize exposure to bloodborne pathogens? Examples of mood include depression, joy, elation, anger, anxiety. Which of the following accurately depicts a particular phase? An outpatient diagnosed with bipolar disorder takes lithium carbonate 300 mg three times Reduce stimuli - find quiet room, with low lights and noise levels. MSC: Client Needs: Psychosocial Integrity. Which physical symptoms would you expect to see in your patient diagnosed with anorexia nervosa? Which findings demonstrate evidence of Which statement supports the nurse's suspicion that the client has obsessive-compulsive disorder (OCD)? Even if I take my medication, there are no guarantees. Select all that apply. Which outcome in the client does the nurse expect from this intervention? Bipolar and related disorder due to another medical condition 6. episode, the priority lies with the patients physiological safety. b. Suspiciousness is not evide, perks and making obscene gestures at cars. a. suggests the patient have a friend do the shopping and bring purchases to the unit. The gold has been sold." Patients with mood disorders, both depression and mania, experience sleep pattern Then answer the question. Which finding in the client in the psychiatric ward enables the nurse to reach the conclusion that the client is in the premorbid phase of schizophrenia? (, A nurse prepares the plan of care for a patient experiencing an acute manic episode. Earn Free Access Learn More > Upload Documents c. Provide verbal instructions to the patient to remain calm. The patient has demonstrated clang associations and pleasant, happy be, are not the best terms for the patients mood. Which condition would the nurse expect to find in the medical history of a client with bulimia nervosa? question. a. developing an optimistic outlook. Which disorder does the nurse suspect in the client who is depressed, shows aggressive tendencies toward others, and destroys items without permission? Activities that require 1 mEq/L. A newly admitted patient asks the nurse, "Can you hear those people laughing at me? Cyclothymia refers to mood swings involving hypomania and dysthymia of 2 years' duration. A patient is in the recovery room after an emergency surgery. 1) "Males of very high socioeconomic status are predisposed to suicide." 2) "Females of Asian-American ethnicity are predisposed to suicide." 3) The majority of people who commit suicide do not have a diagnosable mental illness. for 3 days. Why do you continue this behavior?. Which statement made by client indicates the effectiveness of the therapy? The best explanation at this time is that bipolar disorder is most likely caused by interplay of One-on-one supervision may provide the necessary structure. 2. Select all that apply. Jane has been diagnosed with bulimia nervosa. Select all that apply. Schizophrenia has four phrases. Rationale Relevancy Your Answer Feelings of sadness and dejection are associated with depression. Chapter 13: Bipolar and Related Disorders Select all that apply. Kelly presents with a history of depression and elevated mood, getting fired from her job, and delusions of grandeur. Which side effect associated with antipsychotics occurs due to the blockade of alpha1-adrenergic receptors? bipolar disorders in youth. Hyperactivity (activity without sleep) and poor judgment (posting rhymes on government, websites) are characteristic of manic episodes. Touching a. tell the patient, You need to be secluded. The therapists moved her into a room devoid of all these comforts, and put a light meal in front of her; if she ate anything at oil one of the comforts was temporarily restored. Which traits does the nurse expect in a client diagnosed with paranoid personality disorder? Samples of automatic thoughts in bipolar disorder experience difficulty thinking, obsessive and repetitive thoughts, negativism, and/or behaviors indicating suicidal ideation. MSC: Client Needs: Physiological Integrity. the client is hypersensitive to criticism. Which action of the client would the therapist monitor to evaluate the effectiveness of phase IV of EMDR? bipolar disorder. Elliot Aronson, Robin M. Akert, Samuel R. Sommers, Timothy D. Wilson. c. Most patients take medication for approximately 6 months after discharge. Sleep is reduced. Which condition does the nurse suspect in the client? The parent of an adolescent client says, "My child keeps talking about calling the U.S. president to give him suggestions." c. double the lithium dose if diarrhea or vomiting occurs. ANS: C (hallucinations, delusions, and dramatically disturbed thoughts) may occur during manic A client who suffered a head injury reports frequent sleepiness and loss of appetite. The nurse is caring for a client who is diagnosed with hypomania. Arlene Lacombe, Kathryn Dumper, Rose Spielman, William Jenkins, Elliot Aronson, Robin M. Akert, Timothy D. Wilson. REF: Pages 13-26, 27, 28, 49 (Table 13-4) PTS: 1 DIF: Cognitive Level: Apply (Application) Which medication is effective when the primary health-care provider prefers a single medication for the treatment of both conditions? Her eating improved, she gained weight and within two months she was released from the hospital. List the stages of Kohlberg's theory of moral development from the oldest level to the youngest, and briefly explain each. Delusions or hallucinations may or may not be part of clinical picture. Which response by the nurse is appropriate? The incorrect Symptoms not sufficiently severe to cause impairment in social or occupational functioning. b. distorted thought self-control. ANS: B, C Which behaviors are present in a client with borderline personality disorder? - develop tolerance to effects/withdraw from substance. Which of the following are neurobiological changes that the nurse would observe in someone who has binge-eating disorder? REF: Pages 13-18, 19 (Case Study and Nursing Care Plan), 46 (Table 13-3) Select all that apply. Threatening the patient or assembling a show of force is likely Which of the following patient statements are consistent with a diagnosis of obsessive-compulsive disorder? Which of the following symptoms would the nurse expect to find in a patient with Bipolar I Disorder, most recent episode manic? access to cash and credit cards. 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