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Ati mental health bipolar disorder exam with questions and answers.pdf

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Ati mental health bipolar disorder exam with questions and answers

Nurse Ben and the nursing staff conduct a care planning conference to discuss nursing
actions to promote Susan Choi's recovery. Which of the following nursing actions should
Ben implement? (Select all that apply.) - ansUsing a firm, calm, matter-of-fact approach
can provide structure and offer security to a client who is feeling out of control. Offering
high-calorie drinks can compensate for increased caloric expenditures during
hyperactivity and prevent serious dehydration. Decreasing light, noise, and interactions
can minimize anxiety and agitation. Using distraction to redirect the client to constructive
behaviors makes positive use of the client's distractibility. Use of open -ended
statements does not provide structure or direction for a client experiencing a manic
episode. Encouraging competitive activities can increase excitability and evoke angry
outbursts.

Nurse Ben continues to collect information related to Susan Choi's epi sode of manic
behavior. Which of the following responses to the question asked by the client's mother
is appropriate? - ans"According to the literature, there is strong genetic predisposition
for bipolar disorders."

Nurse Ben develops an initial meal plan for Susan Choi and is preparing to discuss the
plan with Susan and her mother. Which of the following menus represents an
appropriate diet for Susan? (Select the appropriate image.) - ansA client who is
experiencing a manic episode is hyperactive and typically unable to sit for meals. This
meal offers "finger foods," and a non -caffeinated beverage, which the client can
consume while moving around. But the bagel could be difficult to chew and a peach is
messy when eaten. The meal also offers high -protein, high-calorie foods with no
utensils. (option c)

Nurse Ben is attempting to administer the olanzapine (Zyprexa) IM to Susan Choi, but
she forcefully refuses it. Which of the following actions should Ben take? - ansexplain
why she needs the medication and wh y IM

Nurse Ben is leading a group therapy session and Susan Choi interrupts the session.
Which of the following actions should Ben take to manage Susan's disruptive behavior?
- anshave her escorted from the group

Nurse Ben is planning care for Susan and is reviewing manifestations of lithium toxicity.
The nurse should monitor for which of the following findings? - ansataxia

Nurse Ben is planning discharge outcomes for Susan Choi. Identify client outcomes for
Susan in the following areas: lifestyle support/bipolar management, medication
management, and crisis management. (Include three or more outcomes for each
category.) - ansMaintain consistent patterns in sleep, meals, and activities,Take
prescribed medication, even when feeling well,Identify signs of bipolar relapse and
possible precipitating factors (disturbance in sleep patterns, intake of caffeine, alcohol,
drug abuse, and discontinuing prescribed medications)

,Nurse Ben is preparing to administe olanzapine 10 mg IM to Susan Choi, who has
acute mania. The nurse should reconstitute the medication with 2.1 mL of sterile water
to yield 5 mg/mL. How many mL should Ben administer? (Round to the nearest whole
number.) - ans2

Nurse Ben is preparing to administer olanzapine to Susan Choi who is in the early
phase of acute mania. Which of the following are expected outcomes of the medication?
(Select all that apply.) - ansA client who receives olanzapine can experience sedation,
decreased agitation, and fewer mania relapses. Common side effects of olanzapine
include an increase of premenstrual syndrome symptoms and weight gain.

Nurse Ben is preparing to instruct Susan Choi and her family regarding lithium therapy.
Which of the following instructions should Ben include in his teaching? (Select all that
apply.) - ansTake the medication with meals. Maintain consistent sodium intake.
Consume 2 to 3 L of fluid per day.

Nurse Ben is reviewing the adverse effects of lamotrigine. Which of the following is a
serious adverse effect of this medication? - ansStevens johnsons syndrome

Nurse Ben performs Susan Choi's initial mental status assessment. Which of the
following categories indicates correct nursing assessment findings? (You will find hot
spots to select in the artwork below. - ansThe client is experiencing a manic episode
with inappropriate responses that are not within appropriate limits. (Grandulose thinking)

Nurse Ben responds to Susan's despondent behavior. Which of the following is an
appropriate response by Ben? - ans"Do you have a plan for how you would end your
life?"

Nurse Ben reviews Susan Choi's assessment data. Which of the following assessment
tools should he use to identify suicide risk factors and the need for hospitalization? - ans
SAFE-T

Susan Choi behaves seductively towards Nurse Ben. Which of the following responses
by Ben is appropriate? - ansGive clear expectations of behavior

The admission orders indicate Susan Choi is to have several laboratory tests drawn and
to start therapy with lithium. Which of the following laboratory tests must be drawn prior
to starting lithium therapy? (Select all that apply.) - ansThyroid, Bun/creatine, hcg
Nurse Ben and the nursing staff conduct a care planning conference to discuss nursing
actions to promote Susan Choi's recovery. Which of the following nursing actions should
Ben implement? (Select all that apply.) - ansUsing a firm, calm, matter-of-fact approach
can provide structure and offer security to a client who is feeling out of control. Offering
high-calorie drinks can compensate for increased caloric expenditures during
hyperactivity and prevent serious dehydration. Decreasing light, noise, and interactions
can minimize anxiety and agitation. Using distraction to redirect the client to constructive

,behaviors makes positive use of the client's distractibility. Use of open -ended
statements does not provide structure or direction for a client experiencing a manic
episode. Encouraging competitive activities can increase excitability and evoke angry
outbursts.

Nurse Ben continues to collect information related to Susan Choi's episode of manic
behavior. Which of the following responses to the question asked by the client's moth er
is appropriate? - ans"According to the literature, there is strong genetic predisposition
for bipolar disorders."

Nurse Ben develops an initial meal plan for Susan Choi and is preparing to discuss the
plan with Susan and her mother. Which of the following menus represents an
appropriate diet for Susan? (Select the appropriate image.) - ansA client who is
experiencing a manic episode is hyperactive and typically unable to sit for meals. This
meal offers "finger foods," and a non -caffeinated beverage, which the client can
consume while moving around. But the bagel could be difficult to chew and a peach is
messy when eaten. The meal also offers high -protein, high-calorie foods with no
utensils. (option c)

Nurse Ben is attempting to administer the olanzapin e (Zyprexa) IM to Susan Choi, but
she forcefully refuses it. Which of the following actions should Ben take? - ansexplain
why she needs the medication and why IM

Nurse Ben is leading a group therapy session and Susan Choi interrupts the session.
Which of the following actions should Ben take to manage Susan's disruptive behavior?
- anshave her escorted from the group

Nurse Ben is planning care for Susan and is reviewing manifestations of lithium toxicity.
The nurse should monitor for which of the following findings? - ansataxia

Nurse Ben is planning discharge outcomes for Susan Choi. Identify client outcomes for
Susan in the following areas: lifestyle support/bipolar management, medication
management, and crisis management. (Include three or more outcomes for each
category.) - ansMaintain consistent patterns in sleep, meals, and activities,Take
prescribed medication, even when feeling well,Identify signs of bipolar relapse and
possible precipitating factors (disturbance in sleep patterns, intake of caffeine, alcohol,
drug abuse, and discontinuing prescribed medications)

Nurse Ben is preparing to administe olanzapine 10 mg IM to Susan Choi, who has
acute mania. The nurse should reconstitute the medication with 2.1 mL of sterile water
to yield 5 mg/mL. How many mL should Ben administer? (Round to the nearest whole
number.) - ans2

Nurse Ben is preparing to administer olan zapine to Susan Choi who is in the early
phase of acute mania. Which of the following are expected outcomes of the medication?
(Select all that apply.) - ansA client who receives olanzapine can experience sedation,

, decreased agitation, and fewer mania relapses. Common side effects of olanzapine
include an increase of premenstrual syndrome symptoms and weight gain.

Nurse Ben is preparing to instruct Susan Choi and her family regarding lithium therapy.
Which of the following instructions should Ben include in his teaching? (Select all that
apply.) - ansTake the medication with meals. Maintain consistent sodium intake.
Consume 2 to 3 L of fluid per day.

Nurse Ben is reviewing the adverse effects of lamotrigine. Which of the following is a
serious adverse effect of this medication? - ansStevens johnsons syndrome

Nurse Ben performs Susan Choi's initial mental status assessment. Which of the
following categories indicates correct nursing assessment findings? (You will find hot
spots to select in the artwork below. - ansThe client is experiencing a manic episode
with inappropriate responses that are not within appropriate limits. (Grandulose thinking)

Nurse Ben responds to Susan's despondent behavior. Which of the following is an
appropriate response by Ben? - ans"Do you have a plan for how you would end your
life?"

Nurse Ben reviews Susan Choi's assessment data. Which of the following assessment
tools should he use to identify suicide risk factors and the need for hospitalization? - ans
SAFE-T

Susan Choi behaves seductively towards Nurse Ben. Which of the following responses
by Ben is appropriate? - ansGive clear expectations of behavior

The admission orders indicate Susan Choi is to have several laboratory tests drawn and
to start therapy with lithium. Which of the following laboratory tests must be drawn prior
to starting lithium therapy? (Select all that apply.) - ansThyroid, Bun/creatine, hcg
Nurse Ben and the nursing staff conduct a care planning conference to discuss nursing
actions to promote Susan Choi's recovery. Which of the following nursing actions should
Ben implement? (Select all that apply.) - ansUsing a firm, calm, matter-of-fact approach
can provide structure and offer security to a client who is feeling out of control. Offering
high-calorie drinks can compensate for increased caloric expenditures during
hyperactivity and prevent serious dehydration. Decreasing light, noise, and interactions
can minimize anxiety and agitation. Using distraction to redirect the client to constructive
behaviors makes positive use of the client's distractibility. Use of open -ended
statements does not provide structure or direction for a client experiencing a manic
episode. Encouraging competitive activities can increase excitability and evoke angry
outbursts.

Nurse Ben continues to collect information related to Susan Choi's episode of manic
behavior. Which of the following responses to the question asked by the client's mother
is appropriate? - ans"According to the literature, there is strong genetic predisposition
for bipolar disorders."

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