Depression/Bipolar/Mania/Suicide MENTAL HEALTH TEST 2. QUESTIONS AND ANSWERS.

Which nursing intervention is likely to be most helpful in providing adequate nutrition while the patient is experiencing acute mania? A. Provide nutrient-rich finger foods so the patient can eat while walking and talking. B. Offer only liquids that are rich in calories to avoid choking. C. Make food readily available knowing the client will eat when hungry. D. Insist that the patient join the other patients on the unit during mealtimes. A nurse who understands the psychopathology of bipolar disorder will include which intervention into the client's care plan? A. Assist the patient in making frequent calls to friends and neighbors while on the inpatient unit. B. Distract the patient to avoid negative outcomes resulting from manic behavior. C. Provide frequent large meals to the patient who is experiencing flight of ideas. D. Promote the therapeutic relationship with humor and joking behaviors. When comparing the needs of patients experiencing depression and those experiencing bipolar disorder, both groups will require which intervention? A. Careful monitoring of environmental stimuli B. Suicide and escape precautions C. Fall and seizure precautions D. Assessment of eating and sleeping patterns Which assessment data would be inconsistent with a diagnosis of mania? A. The patient is demonstrating severe irritability. B. Family report that the mood change occurred gradually over a 5-day period. C. The behaviors have increased in severity since onset 2 weeks ago. D. The patient has been abusing alcohol consistently since onset of symptoms. Which assessment data would support a diagnosis of bipolar II disorder? A. Hypomania B. Behaviors that span at least a 6-day period C. Paranoia D. Behaviors requiring hospitalization Which assessment question is appropriate to identify a unique characteristic of a patient experiencing bipolar depression? A. "Do you experience insomnia on a regular basis?" B. "Have you experienced a weight loss recently?" C. "Have you ever been diagnosed with anorexia?" D. "Do you experience paranoid thoughts?" Manic individuals often attempt to control others and to achieve their goals through which mechanism? A. Displaying tantrum-like behavior when frustrated B. Physically aggressive behavior directed toward others C. Manipulatively praising others to gain favor D. Threatening to physically harm themselves What initial intervention should be implemented by the nurse when managing a manic patient whose behavior is disrupting a group therapy session? A. Setting behavioral limits for the patient that are appropriate and well defined B. Remaining involved with the patient while demonstrating a calm demeanor C. Communicating with the patient using brief, simple statements D. Removing the patient from the group to de-escalate the situation