Exam 26: Bipolar and Related Disorders

Which client statement would the nurse recognize as indicating that the client understands dietary teaching related to lithium carbonate (Lithobid)treatment?

A client on an inpatient unit is diagnosed with bipolar disorder: manic episode.During a discussion in the dayroom about weekend activities,the client raises his voice,becomes irritable,and insists that plans change.What should be the nurse's initial intervention?

A client diagnosed with bipolar I disorder is distraught over insomnia experienced over the last 3 nights and a 12-pound weight loss over the past 2 weeks.Which should be this client's priority nursing diagnosis?

A client diagnosed with bipolar disorder: depressive episode intentionally overdoses on sertraline (Zoloft).Family reports that the client has experienced anorexia,insomnia,and recent job loss.What should be the priority nursing diagnosis for this client?

Which of the following explanations should a nurse include when teaching parents why is it difficult to diagnose a child or adolescent exhibiting symptoms of bipolar disorder? Select all that apply.

A nurse begins the intake assessment of a client diagnosed with bipolar I disorder.The client shouts,"You can't do this to me.Do you know who I am?" Which is the priority nursing action in this situation?

A client is diagnosed with bipolar I disorder: manic episode.Which nursing intervention would be implemented to achieve the outcome of "Client will gain 2 pounds by the end of the week?"

After teaching a client about lithium carbonate (Lithane),a nurse would consider the teaching successful on the basis of which client statement?

A client diagnosed with bipolar disorder states,"I hate oatmeal.Let's get everybody together to do exercises.I'm thirsty and I'm burning up.Get out of my way; I have to see that guy." What should be the priority nursing action?

A client is admitted in a manic episode of bipolar I disorder.Which nursing intervention should be most therapeutic for this client?

A nurse learns at report that a newly admitted client experiencing mania is demonstrating grandiose delusions.The nurse should recognize that which client statement would provide supportive evidence of this symptom?

A client diagnosed with bipolar I disorder: manic episode refuses to take lithium carbonate because he complains that it makes him feel sick.Which of the following medications might be alternatively prescribed for mood stabilization in bipolar disorders?

A newly admitted client is diagnosed with bipolar disorder: manic episode.Which symptom related to altered thought is the nurse most likely to assess?

A highly agitated client paces the unit and states,"I could buy and sell this place." The client's mood fluctuates from fits of laughter to outbursts of anger.Which is the most accurate documentation of this client's behavior?

Which of the following instructions regarding lithium therapy should be included in a nurse's discharge teaching? Select all that apply.

A newly admitted client is experiencing a manic episode of bipolar I disorder and presents as very agitated.The nurse should assign which priority nursing diagnosis to this client?

A client is diagnosed with cyclothymic disorder.What client behaviors should the nurse expect to assess?

What tool should a nurse use to differentiate occasional spontaneous behaviors of children from behaviors associated with bipolar disorder?

A client who has been diagnosed with bipolar I disorder states,"God has taught me how to decode the Bible." A nurse should anticipate that which combination of medications would be ordered to address this client's symptoms?

A client diagnosed with bipolar I disorder is exhibiting severe manic behaviors.A physician prescribes lithium carbonate (Eskalith)and olanzapine (Zyprexa).The client's spouse questions the Zyprexa order.Which is the appropriate nursing reply?