BIPOLAR DISORDER ATI MENTAL HEALTH
EXAMINABLE QUESTIONS WITH CORRECT
ANSWERS
"Nurse Ben performs Susan Choi's initial mental status assessment. Which of the
following categories indicates correct nursing assessment findings?"
- Judgment/Insight = Minimizing
- Comprehension/Response = WNL
- Thought Content = Grandiose thinking + Racing/magical thinking
- Speech/Thought Process = Hyper-verbal + Looseness of association - ANSWER-
- Thought Content = Grandiose thinking + Racing/magical thinking
"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?
- 'Asking about family history is not a routine part of my assessment, but thought I
should just ask.'
- 'Environmental factors are of minimal significance to the onset.'
- 'According to the literature, there is strong genetic predisposition for bipolar
disorders.'
- 'Current research reports a greater likelihood for the development of bipolar
disorder in certain ethnic groups.'" - ANSWER-- 'According to the literature, there
is strong genetic predisposition for bipolar disorders.'
,"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.)
- Use a firm, calm, matter-of-fact approach.
- Increase verbalization through open-ended statements.
- Offer frequent, high-calorie drinks.
- Decrease noise, lights, and interactions.
- Encourage competitive daytime activity.
- Use distraction to redirect the client's energy." - ANSWER-- Use a firm, calm,
matter-of-fact approach.
- Offer frequent, high-calorie drinks.
- Decrease noise, lights, and interactions.
- Use distraction to redirect the client's energy.
"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?"
- Coffee/tea, broccoli, meatloaf, and mash potatoes and gravy.
- Soda, bread, spaghetti with meatballs, and salad.
- Lemonade, bagels with cream cheese, cookies, and a fruit cup.
- Smoothie, banana, sandwiches, and chips. - ANSWER-- Smoothie, banana,
sandwiches, and chips.
,"Nurse Ben is planning care for Susan and is reviewing manifestations of lithium
toxicity. The nurse should monitor for which of the following findings?
- Ataxia
- Fine hand tremor
- Elevated blood pressure
- Muscle relaxation" - ANSWER-- 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?
- CIWA
- CAGE
- SAFE-T
- MDQ" - ANSWER-- SAFE-T
"Nurse Ben is reviewing the adverse effects of lamotrigine. Which of the following
is a serious adverse effect of this medication?
- Stevens-Johnson syndrome
- Agranulocytosis
- Neuroleptic malignant syndrome (NMS)
- Tardive dyskinesia" - ANSWER-- Stevens-Johnson syndrome
, "Nurse Ben responds to Susan's despondent behavior. Which of the following is an
appropriate response by Ben?
- 'I'll sit here with you, Susan.'
- 'Tell me about that deep dark hole.'
- 'It may be comforting to know this depression will lift shortly.'
- 'Do you have a plan for how you would end your life?'" - ANSWER-- '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 management. (Include three or more outcomes
for each category.)" - ANSWER-"Lifestyle support/bipolar management
Client will:
1. Review educational material about bipolar disorder and its management.
2. Maintain consistent patterns in sleep, meals, and activities.
3. Identify strategies for enhancing communication and problem-solving skills.
4. Recognize support systems at home (family, friends).
5. Carry names and contact information for local bipolar support groups, such as
the National Alliance for the Mentally Ill (NAMI.org) and the Depression and
Bipolar Support Alliance (DBSA.org).
6. Attend all follow-up appointments.
Medication management
Client will:
1. Review educational materials related to current medications: Lithium and
lamotrigine.
EXAMINABLE QUESTIONS WITH CORRECT
ANSWERS
"Nurse Ben performs Susan Choi's initial mental status assessment. Which of the
following categories indicates correct nursing assessment findings?"
- Judgment/Insight = Minimizing
- Comprehension/Response = WNL
- Thought Content = Grandiose thinking + Racing/magical thinking
- Speech/Thought Process = Hyper-verbal + Looseness of association - ANSWER-
- Thought Content = Grandiose thinking + Racing/magical thinking
"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?
- 'Asking about family history is not a routine part of my assessment, but thought I
should just ask.'
- 'Environmental factors are of minimal significance to the onset.'
- 'According to the literature, there is strong genetic predisposition for bipolar
disorders.'
- 'Current research reports a greater likelihood for the development of bipolar
disorder in certain ethnic groups.'" - ANSWER-- 'According to the literature, there
is strong genetic predisposition for bipolar disorders.'
,"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.)
- Use a firm, calm, matter-of-fact approach.
- Increase verbalization through open-ended statements.
- Offer frequent, high-calorie drinks.
- Decrease noise, lights, and interactions.
- Encourage competitive daytime activity.
- Use distraction to redirect the client's energy." - ANSWER-- Use a firm, calm,
matter-of-fact approach.
- Offer frequent, high-calorie drinks.
- Decrease noise, lights, and interactions.
- Use distraction to redirect the client's energy.
"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?"
- Coffee/tea, broccoli, meatloaf, and mash potatoes and gravy.
- Soda, bread, spaghetti with meatballs, and salad.
- Lemonade, bagels with cream cheese, cookies, and a fruit cup.
- Smoothie, banana, sandwiches, and chips. - ANSWER-- Smoothie, banana,
sandwiches, and chips.
,"Nurse Ben is planning care for Susan and is reviewing manifestations of lithium
toxicity. The nurse should monitor for which of the following findings?
- Ataxia
- Fine hand tremor
- Elevated blood pressure
- Muscle relaxation" - ANSWER-- 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?
- CIWA
- CAGE
- SAFE-T
- MDQ" - ANSWER-- SAFE-T
"Nurse Ben is reviewing the adverse effects of lamotrigine. Which of the following
is a serious adverse effect of this medication?
- Stevens-Johnson syndrome
- Agranulocytosis
- Neuroleptic malignant syndrome (NMS)
- Tardive dyskinesia" - ANSWER-- Stevens-Johnson syndrome
, "Nurse Ben responds to Susan's despondent behavior. Which of the following is an
appropriate response by Ben?
- 'I'll sit here with you, Susan.'
- 'Tell me about that deep dark hole.'
- 'It may be comforting to know this depression will lift shortly.'
- 'Do you have a plan for how you would end your life?'" - ANSWER-- '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 management. (Include three or more outcomes
for each category.)" - ANSWER-"Lifestyle support/bipolar management
Client will:
1. Review educational material about bipolar disorder and its management.
2. Maintain consistent patterns in sleep, meals, and activities.
3. Identify strategies for enhancing communication and problem-solving skills.
4. Recognize support systems at home (family, friends).
5. Carry names and contact information for local bipolar support groups, such as
the National Alliance for the Mentally Ill (NAMI.org) and the Depression and
Bipolar Support Alliance (DBSA.org).
6. Attend all follow-up appointments.
Medication management
Client will:
1. Review educational materials related to current medications: Lithium and
lamotrigine.
