ATI: RN real life mental health: bipolar
disorder
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. - ANS-The client is experiencing a manic episode with inappropriate responses
that are not within appropriate limits. (Grandulose thinking)
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.) - ANS-Using 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 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.) - ANS-A 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 planning care for Susan and is reviewing manifestations of lithium toxicity. The
nurse should monitor for which of the following findings? - ANS-ataxia
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
Nurse Ben is reviewing the adverse effects of lamotrigine. Which of the following is a serious
adverse effect of this medication? - ANS-Stevens johnsons syndrome
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 is planning discharge outcomes for Susan Choi. Identify client outcomes for Susan in
the following areas: lifestyle support/bipolar management, medication management, and crisis
disorder
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. - ANS-The client is experiencing a manic episode with inappropriate responses
that are not within appropriate limits. (Grandulose thinking)
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.) - ANS-Using 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 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.) - ANS-A 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 planning care for Susan and is reviewing manifestations of lithium toxicity. The
nurse should monitor for which of the following findings? - ANS-ataxia
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
Nurse Ben is reviewing the adverse effects of lamotrigine. Which of the following is a serious
adverse effect of this medication? - ANS-Stevens johnsons syndrome
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 is planning discharge outcomes for Susan Choi. Identify client outcomes for Susan in
the following areas: lifestyle support/bipolar management, medication management, and crisis
