Nurs 1020- Vsim- Core-Bipolar Questions and
Answers
Correct
Incorrect
1 of 22
Term
What are the classic behaviors associated with the manic phase of
bipolar disorder? (Select all that apply.)
Give this one a try later!
Remains free from injury or trauma
Rationale:
Because of the safety risks taken by patients in the manic phase, safety plays a
primary role in care and is the priority nursing responsibility.
Remaining free of i n j u ry or trauma is the associated outcome.
The remaining options are outcomes that can be achieved once the patient's mania
is being managed effectively.
, Agitation
Paranoid thinking
Extreme distractibility
Flight of Ideas
Rationale:
Mania is characterized by agitation, flight of ideas, paranoia, distractibility, and
excessive social extroversion.
Impulsivity
Rationale:
Patients in the manic phase demonstrate poor judgement and impulsivity, making
them vulnerable for a variety of risk-taking activities.
Although the other characteristics may contribute to the risk for injury, poor
judgement and impulsivity are the primary risk factors.
0.7 mEq/L
Rationale:
There is a narrow range for safety among maintenance levels (0.5 to 1 mEq/L).
Treatment levels (0.8 to 1.5 mEq/L), and toxic levels (1.5 mEq/L and above).
Don't know?
2 of 22
Definition
,"I hope my husband will remember how much I loved him after I'm
gone."
Rationale:
Bipolar I disorder involves one or more manic or mixed episodes that
pose a significant risk for suicidal ideations.
Indicating a wish to be remembered as loving when "I'm gone" is the
strongest suggestions of suicidal ideations.
The remaining options relate to the patient's insight regarding the other
classic behaviors associated with manic behaviors.
Give this one a try later!
Which nursing interventions are appropriate for inclusion into care plan of a patient
demonstrating agitation resulting from a manic episode? (Select all that apply.)
Which instruction should the nurse include in medication teaching to Mrs. Cole and
her husband regarding lithium therapy? (Select all that apply.)
Considering bipolar I disorder, which statement made by a patient should be
considered an indicator of high risk for self-harm?
What is the priority safety -related outcome for a patient currently experiencing
mania associated with bip olar disorder?
Don't know?
, 3 of 22
Definition
Impulsivity
Rationale:
Patients in the manic phase demonstrate poor judgement and
impulsivity, making them vulnerable for a variety of risk-taking
activities.
Although the other characteristics may contribute to the risk for injury,
poor judgement and impulsivity are the primary risk factors.
Give this one a try later!
Which symptoms are consistent with Which behavior suggests that Mrs.
a diagnosis of bipolar disorder? Cole would benefit from a prescribed
(Select all that apply) as-needed dose of lorazep am?
Which symptom of mania
Which serum level indicates that the
places a patient with bipolar
patient is receiving an app ropriate
disorder at greatest risk for
maintenance dose of lithium?
injury?
Don't know?
4 of 22
Answers
Correct
Incorrect
1 of 22
Term
What are the classic behaviors associated with the manic phase of
bipolar disorder? (Select all that apply.)
Give this one a try later!
Remains free from injury or trauma
Rationale:
Because of the safety risks taken by patients in the manic phase, safety plays a
primary role in care and is the priority nursing responsibility.
Remaining free of i n j u ry or trauma is the associated outcome.
The remaining options are outcomes that can be achieved once the patient's mania
is being managed effectively.
, Agitation
Paranoid thinking
Extreme distractibility
Flight of Ideas
Rationale:
Mania is characterized by agitation, flight of ideas, paranoia, distractibility, and
excessive social extroversion.
Impulsivity
Rationale:
Patients in the manic phase demonstrate poor judgement and impulsivity, making
them vulnerable for a variety of risk-taking activities.
Although the other characteristics may contribute to the risk for injury, poor
judgement and impulsivity are the primary risk factors.
0.7 mEq/L
Rationale:
There is a narrow range for safety among maintenance levels (0.5 to 1 mEq/L).
Treatment levels (0.8 to 1.5 mEq/L), and toxic levels (1.5 mEq/L and above).
Don't know?
2 of 22
Definition
,"I hope my husband will remember how much I loved him after I'm
gone."
Rationale:
Bipolar I disorder involves one or more manic or mixed episodes that
pose a significant risk for suicidal ideations.
Indicating a wish to be remembered as loving when "I'm gone" is the
strongest suggestions of suicidal ideations.
The remaining options relate to the patient's insight regarding the other
classic behaviors associated with manic behaviors.
Give this one a try later!
Which nursing interventions are appropriate for inclusion into care plan of a patient
demonstrating agitation resulting from a manic episode? (Select all that apply.)
Which instruction should the nurse include in medication teaching to Mrs. Cole and
her husband regarding lithium therapy? (Select all that apply.)
Considering bipolar I disorder, which statement made by a patient should be
considered an indicator of high risk for self-harm?
What is the priority safety -related outcome for a patient currently experiencing
mania associated with bip olar disorder?
Don't know?
, 3 of 22
Definition
Impulsivity
Rationale:
Patients in the manic phase demonstrate poor judgement and
impulsivity, making them vulnerable for a variety of risk-taking
activities.
Although the other characteristics may contribute to the risk for injury,
poor judgement and impulsivity are the primary risk factors.
Give this one a try later!
Which symptoms are consistent with Which behavior suggests that Mrs.
a diagnosis of bipolar disorder? Cole would benefit from a prescribed
(Select all that apply) as-needed dose of lorazep am?
Which symptom of mania
Which serum level indicates that the
places a patient with bipolar
patient is receiving an app ropriate
disorder at greatest risk for
maintenance dose of lithium?
injury?
Don't know?
4 of 22
