Video Case Study Bipolar Disorder questions and answers

Video Case Study Bipolar Disorder questions and answers

Clang associations n,




The nurse should expect a client who is in the manic phase of bipolar disorder to exhibit clang associations. This
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speech pattern is characterized by the client's use of words that rhyme without regard for meaning. The client can als
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exhibit speech that is rapid, disorganized, and possibly sexually explicit or vulgar. - Correct Answer ✔✔ - A nurse is
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performing an admission assessment for a client who has bipolar disorder and is in the manic phase. Which of the
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following fndings should the nurse expect?
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Muscle weakness n,




The nurse should identify muscle weakness as an early indication of lithium toxicity. Other early indications include
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diarrhea, nausea and vomiting, polyuria, thirst, lethargy, slurred speech, and tne hand tremors. The nurse should
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instruct the client and family to withhold lithium and notify the provider if these indicators of toxicity are present. -
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Correct Answer ✔✔ - A nurse is providing discharge teaching with the family of a client who has bipolar disorder an
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a prescription for lithium. The nurse should identify which of the following findings as an early indication of lithium
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toxicity?
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Fish sticks with apple slices and a vanilla milkshake.
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The nurse should offer the client frequent intake of protein, fiber and high-calorie foods and fluids to prevent weight
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loss, constipation, and exhaustion due to manic behavior. This meal selection meets these dietary needs while
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providing finger foods that are easy for the client to eat while up and moving around, because it is diffcult for a client
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experiencing mania to sit down and eat a meal. - Correct Answer ✔✔ - A nurse is making dietary selections for a cli
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who is in the manic phase of bipolar disorder. Which of the following choices should the nurse select for the client's
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lunch?
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"I'm not comfortable with your comment. I'm here to help you with your problems."
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If the client makes an inappropriate comment, the nurse should respond in a calm, matter-of-fact tone. The nurse
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should identify that the comment causes discomfort and then restate the nursing role. This helps maintain boundarie
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in the therapeutic relationship. - Correct Answer ✔✔ - A nurse is caring for a client who has bipolar disorder. The
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client states, "You are so good looking. Let's go out on a date." Which of the following statements should the nurse
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make?
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Promote rest in a quiet environment with decreased client stimulation. n, n, n, n, n, n, n, n, n,




The greatest risk to this client is injury and exhaustion resulting from manic behavior due to increased stimulation.
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Therefore, the priority intervention is to encourage frequent rest periods and sleep in a quiet environment with
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decreased client stimulation from noise or other clients - Correct Answer ✔✔ - A nurse on an acute mental health u
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is planning care for a client who has bipolar disorder and is experiencing acute mania. Which of the following
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interventions should the nurse identify as the priority?
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