NSG 322 TOPIC 6 BIPOLAR AND IMPULSE DISORDERS
1. 50% of people with Bipolar I have what other comorbidity
Answer: substance abuse
2. what are the most common comorbidities for Bipolar II
Answer: anxiety, eating
3. a client under 18 with bipolar can sometimes get misdiagnosed with
Answer: ADHD
4. bipolar disorder has a strong component (risk rises 60% for
identical twins)
Answer: genetic
5. what assessment is used to assess for mania in a client who may bebipolar
Answer: altman self-rating mania scale
6. symptom of mania that involves an abruptly switching in conversationfrom one topic to
another
Answer: flight of ideas
7. The meaningless rhyming of words, often in a forceful manner.
Answer: clangassociation
8. Abnormal rate of speech, speaking quickly and urgently
Answer: pressured speech
9. thought and speech associated with excessive and unnecessary detail that is usually
unrelevant to a question, and an answer is eventually provided
Answer: circumstantial
10. false beliefs, often of persecution or grandeur, that may accompany psychotic disorders
Answer: delusions
11. a client in mania with auditory hallucinations, agitation, impulsivity, andpoor judgment is
at risk for
Answer: injury
12. a client in mania with an alteration in cognitive functioning, impulsiveness,sexual advances,
threatening violence, and agitation is at risk for
Answer: violence
, 13. a client in mania who has the S/S of agitation, anxiety, confusion, perceptual disorders,
and restlessness would have the nursing diagnosis of
Answer: sleep deprivation
14. a client in mania with S/S of deficits in verbal communication, working memory,
executive functioning, reasoning, and problem solving would have the nursing diagnosis of
impaired and/or impaired
Answer: cognition,concentration
15. a client in mania who has the S/S of minimal calorie intake, poor hygiene,and unclean
clothing would have the nursing diagnosis of
Answer: self care deficit
16. clients in the phase of mania often require hospitalization due tobehavior
and impaired functioning
Answer: acute
17. clients in the phase of mania are outpatient and focused on lifelong
recovery, avoiding relapse, and continuing to manage medications aswell as functioning well in
all areas of their lives
Answer: maintenance
18. clients in the phase of mania are usually seen as starting allthe point of
initial response to medication and treatment and lasting for
6-12 months of what may be termed early recovery (this is kinda the middlestep)
Answer: continuation
19. what type of foods are given to clients in the acute phase of mania
Answer: fingerfoods
20. a client in acute phase of mania has the highest priority of being safe andstarting or
other mood stabilizing medications
Answer: lithium
21. what are the first lines of treatment for bipolar disorders
Answer: lithium, valproate
22. what med is the gold standard for treating mania
Answer: lithium
23. bipolar disorders are (acute/chronic)
Answer: chronic
24. clients who have
experienced at least 1 meet the DSM 5 criteria
1. 50% of people with Bipolar I have what other comorbidity
Answer: substance abuse
2. what are the most common comorbidities for Bipolar II
Answer: anxiety, eating
3. a client under 18 with bipolar can sometimes get misdiagnosed with
Answer: ADHD
4. bipolar disorder has a strong component (risk rises 60% for
identical twins)
Answer: genetic
5. what assessment is used to assess for mania in a client who may bebipolar
Answer: altman self-rating mania scale
6. symptom of mania that involves an abruptly switching in conversationfrom one topic to
another
Answer: flight of ideas
7. The meaningless rhyming of words, often in a forceful manner.
Answer: clangassociation
8. Abnormal rate of speech, speaking quickly and urgently
Answer: pressured speech
9. thought and speech associated with excessive and unnecessary detail that is usually
unrelevant to a question, and an answer is eventually provided
Answer: circumstantial
10. false beliefs, often of persecution or grandeur, that may accompany psychotic disorders
Answer: delusions
11. a client in mania with auditory hallucinations, agitation, impulsivity, andpoor judgment is
at risk for
Answer: injury
12. a client in mania with an alteration in cognitive functioning, impulsiveness,sexual advances,
threatening violence, and agitation is at risk for
Answer: violence
, 13. a client in mania who has the S/S of agitation, anxiety, confusion, perceptual disorders,
and restlessness would have the nursing diagnosis of
Answer: sleep deprivation
14. a client in mania with S/S of deficits in verbal communication, working memory,
executive functioning, reasoning, and problem solving would have the nursing diagnosis of
impaired and/or impaired
Answer: cognition,concentration
15. a client in mania who has the S/S of minimal calorie intake, poor hygiene,and unclean
clothing would have the nursing diagnosis of
Answer: self care deficit
16. clients in the phase of mania often require hospitalization due tobehavior
and impaired functioning
Answer: acute
17. clients in the phase of mania are outpatient and focused on lifelong
recovery, avoiding relapse, and continuing to manage medications aswell as functioning well in
all areas of their lives
Answer: maintenance
18. clients in the phase of mania are usually seen as starting allthe point of
initial response to medication and treatment and lasting for
6-12 months of what may be termed early recovery (this is kinda the middlestep)
Answer: continuation
19. what type of foods are given to clients in the acute phase of mania
Answer: fingerfoods
20. a client in acute phase of mania has the highest priority of being safe andstarting or
other mood stabilizing medications
Answer: lithium
21. what are the first lines of treatment for bipolar disorders
Answer: lithium, valproate
22. what med is the gold standard for treating mania
Answer: lithium
23. bipolar disorders are (acute/chronic)
Answer: chronic
24. clients who have
experienced at least 1 meet the DSM 5 criteria
