Bipolar Test bank UPDATED Actual
Questions and CORRECT Answers
A highly agitated client paces the unit and states, I could buy and sell this place. The clients
mood fluctuates from fits of laughter to outbursts of anger. Which is the most accurate
documentation of this clients behavior?
A. Rates mood 8/10. Exhibiting looseness of association. Euphoric.
B. Mood euthymic. Exhibiting magical thinking. Restless.
C. Mood labile. Exhibiting delusions of reference. Hyperactive.
D. Agitated and pacing. Exhibiting grandiosity. Mood labile. - CORRECT ANSWER- ✔✔D
A client diagnosed with bipolar I disorder is distraught over insomnia experienced over the
last 3 nights and a 12-pound weight loss over the past 2 weeks. Which should be this clients
priority nursing diagnosis?
A. Knowledge deficit R/T bipolar disorder AEB concern about symptoms
B. Altered nutrition: less than body requirements R/T hyperactivity AEB weight loss
C. Risk for suicide R/T powerlessness AEB insomnia and anorexia
D. Altered sleep patterns R/T mania AEB insomnia for the past 3 nights - CORRECT
ANSWER- ✔✔B
A nurse is planning care for a client diagnosed with bipolar disorder: manic episode. In which
order should the nurse prioritize the listed client outcomes?
Client Outcomes:
1. Maintains nutritional status.
2. Interacts appropriately with peers.
3. Remains free from injury.
4. Sleeps 6 to 8 hours a night.
A. 2, 1, 3, 4
B. 4, 1, 2, 3
C. 3, 1, 4, 2
D. 1, 4, 2, 3 - CORRECT ANSWER- ✔✔C
, A client diagnosed with bipolar disorder: depressive episode intentionally overdoses on
sertraline (Zoloft). Family reports that the client has experienced anorexia, insomnia, and
recent job loss. What should be the priority nursing diagnosis for this client?
A. Risk for suicide R/T hopelessness
B. Anxiety: severe R/T hyperactivity
C. Imbalanced nutrition: less than body requirements R/T refusal to eat
D. Dysfunctional grieving R/T loss of employment - CORRECT ANSWER- ✔✔A
A client diagnosed with bipolar I disorder: manic episode refuses to take lithium carbonate
because he complains that it makes him feel sick. Which of the following medications might
be alternatively prescribed for mood stabilization in bipolar disorders?
A. Sertraline (Zoloft)
B. Valproic acid (Depakote)
C. Trazodone (Desyrel)
D. Paroxetine (Paxil) - CORRECT ANSWER- ✔✔B
A client diagnosed with bipolar I disorder is exhibiting severe manic behaviors. A physician
prescribes lithium carbonate (Eskalith) and olanzapine (Zyprexa). The clients spouse
questions the Zyprexa order. Which is the appropriate nursing reply?
A. Zyprexa in combination with Eskalith cures manic symptoms.
B. Zyprexa prevents extrapyramidal side effects.
C. Zyprexa ensures a good nights sleep.
D. Zyprexa calms hyperactivity until the Eskalith takes effect. - CORRECT ANSWER- ✔✔D
A client began taking lithium for the treatment of bipolar disorder approximately 1 month
ago. The client asks if it is normal to have gained 12 pounds in this time frame. Which is the
appropriate nursing reply?
A. Thats strange. Weight loss is the typical pattern.
B. What have you been eating? Weight gain is not usually associated with lithium.
C. Weight gain is a common but troubling side effect.
D. Weight gain occurs only during the first month of treatment with this drug. - CORRECT
ANSWER- ✔✔C
Questions and CORRECT Answers
A highly agitated client paces the unit and states, I could buy and sell this place. The clients
mood fluctuates from fits of laughter to outbursts of anger. Which is the most accurate
documentation of this clients behavior?
A. Rates mood 8/10. Exhibiting looseness of association. Euphoric.
B. Mood euthymic. Exhibiting magical thinking. Restless.
C. Mood labile. Exhibiting delusions of reference. Hyperactive.
D. Agitated and pacing. Exhibiting grandiosity. Mood labile. - CORRECT ANSWER- ✔✔D
A client diagnosed with bipolar I disorder is distraught over insomnia experienced over the
last 3 nights and a 12-pound weight loss over the past 2 weeks. Which should be this clients
priority nursing diagnosis?
A. Knowledge deficit R/T bipolar disorder AEB concern about symptoms
B. Altered nutrition: less than body requirements R/T hyperactivity AEB weight loss
C. Risk for suicide R/T powerlessness AEB insomnia and anorexia
D. Altered sleep patterns R/T mania AEB insomnia for the past 3 nights - CORRECT
ANSWER- ✔✔B
A nurse is planning care for a client diagnosed with bipolar disorder: manic episode. In which
order should the nurse prioritize the listed client outcomes?
Client Outcomes:
1. Maintains nutritional status.
2. Interacts appropriately with peers.
3. Remains free from injury.
4. Sleeps 6 to 8 hours a night.
A. 2, 1, 3, 4
B. 4, 1, 2, 3
C. 3, 1, 4, 2
D. 1, 4, 2, 3 - CORRECT ANSWER- ✔✔C
, A client diagnosed with bipolar disorder: depressive episode intentionally overdoses on
sertraline (Zoloft). Family reports that the client has experienced anorexia, insomnia, and
recent job loss. What should be the priority nursing diagnosis for this client?
A. Risk for suicide R/T hopelessness
B. Anxiety: severe R/T hyperactivity
C. Imbalanced nutrition: less than body requirements R/T refusal to eat
D. Dysfunctional grieving R/T loss of employment - CORRECT ANSWER- ✔✔A
A client diagnosed with bipolar I disorder: manic episode refuses to take lithium carbonate
because he complains that it makes him feel sick. Which of the following medications might
be alternatively prescribed for mood stabilization in bipolar disorders?
A. Sertraline (Zoloft)
B. Valproic acid (Depakote)
C. Trazodone (Desyrel)
D. Paroxetine (Paxil) - CORRECT ANSWER- ✔✔B
A client diagnosed with bipolar I disorder is exhibiting severe manic behaviors. A physician
prescribes lithium carbonate (Eskalith) and olanzapine (Zyprexa). The clients spouse
questions the Zyprexa order. Which is the appropriate nursing reply?
A. Zyprexa in combination with Eskalith cures manic symptoms.
B. Zyprexa prevents extrapyramidal side effects.
C. Zyprexa ensures a good nights sleep.
D. Zyprexa calms hyperactivity until the Eskalith takes effect. - CORRECT ANSWER- ✔✔D
A client began taking lithium for the treatment of bipolar disorder approximately 1 month
ago. The client asks if it is normal to have gained 12 pounds in this time frame. Which is the
appropriate nursing reply?
A. Thats strange. Weight loss is the typical pattern.
B. What have you been eating? Weight gain is not usually associated with lithium.
C. Weight gain is a common but troubling side effect.
D. Weight gain occurs only during the first month of treatment with this drug. - CORRECT
ANSWER- ✔✔C
