Chapter 13 & 14 - Bipolar/Depressive Disorders questions and solutions

Chapter 13 & 14 - Bipolar/Depressive Disorders questions
and solutions
Which room placement would be best for a client experiencing a manic episode of bipolar disorder?
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A shared room with a client with dementia
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A single room near the unit activities area
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A single room near the nurses' station
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A shared room away from the unit entrance - Correct Answer ✔✔ - A single room near the nurses' station
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The room placement that provides a nonstimulating environment is best. Nearness to the nurses' station means clos
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supervision can be provided.REF: 244-245
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Which behavior would be most characteristic of a client during a manic episode of bipolar disorder?
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Going rapidly from one activity to another
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Taking frequent rest periods and naps during the day
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Being unwilling to leave home to see other people
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Watching others intently and talking little - Correct Answer ✔✔ - Going rapidly from one activity to another
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Hyperactivity and distractibility are basic to manic episodes.REF: 232-233 n, n, n, n, n, n, n, n,




The nurse can expect a client demonstrating typical manic behavior to be attired in clothing that is
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dark colored and modest.
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colorful and outlandish. n, n,




compulsively neat and clean. n, n, n,




ill-fitted and ragged. - Correct Answer ✔✔ - colorful and outlandish.
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Manic clients often manage to dress and apply makeup in ways that create a colorful, even bizarre, appearance.REF
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233-234
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A bipolar client tells the nurse, "I have the finest tenor voice in the world. The three tenors who do all those TV concer
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are going to retire because they can't compete with me." The nurse would make the assessment that the client is
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displaying
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flight of ideas. n, n,




distractibility.

limit testing. n,

,grandiosity. - Correct Answer ✔✔ - grandiosity. n, n, n, n, n, n, n,




Exaggerated belief in one's own importance, identity, or capabilities is seen with grandiosity.REF: 233-234 n, n, n, n, n, n, n, n, n, n, n, n, n,




When a client reports that lithium causes an upset stomach, the nurse suggests taking the medication:
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with meals n,




with an antacid n, n,




30 minutes before meals n, n, n,




2 hours after meals - Correct Answer ✔✔ - with meals
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Many clients find that taking lithium with or shortly after meals minimizes gastric distress.REF: 240-241
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An outcome for a manic client during the acute phase that would indicate that the treatment plan was successful wou
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be that the client
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reports racing thoughts. n, n,




is free of injury.n, n, n,




is highly distractible.
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ignores food and fluid. - Correct Answer ✔✔ - is free of injury. n, n, n, n, n, n, n, n, n, n, n, n, n,




Risk for injury is a diagnosis of high priority for manic clients because of their hyperactivity. Lack of injury is a highly
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desirable outcome.REF: 234
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A person who has numerous hypomanic and dysthymic episodes can be assessed as demonstrating characteristics
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bipolar II disorder. n, n,




bipolar I disorder. n, n,




cyclothymia.

seasonal affective disorder. - Correct Answer ✔✔ - cyclothymia. n, n, n, n, n, n, n, n, n,




Cyclothymia refers to mood swings involving hypomania and dysthymia of 2 years' duration. The mood swings are n n, n, n, n, n, n, n, n, n, n, n, n, n, n, n, n, n,




severe enough to prompt hospitalization.REF: 228
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The first-line drug used to treat mania is
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lithium carbonate (Lithium). n, n,




carbamazepine (Tegretol). n,




lamotrigine (Lamictal). n,




clonazepam (Klonopin). - Correct Answer ✔✔ - lithium carbonate (Lithium). n, n, n, n, n, n, n, n, n, n,




Lithium, a mood stabilizer, is the first-line drug for use in treating bipolar disorder.REF: 230
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