Chapter 28, Bipolar Disorders Video Solutions, Psychiatric-Mental Health Nursing: Evidence-Based Concepts, Skills, and Practices

Problem 1

After a client diagnosed with bipolar I disorder has been taking lithium for 2 weeks, she complains of vomiting and diarrhea and is slurring her words. Which of the following would be the nurse's most appropriate action?
a. Tell the client that these symptoms will disappear with time.
b. Immediately call the physician to report the symptoms.
c. Check the client's last serum lithium level.
d. Immediately draw a blood glucose level from the client.

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Problem 2

Which of the following activities would be most appropriate for a client with mania on an inpatient unit?
a. Arts and crafts
b. Playing a game of cards
c. Walking with a staff member
d. A cooking group

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Problem 3

A client reports to the admissions nurse that he has not eaten or slept in the last week. He begins talking about finding a scientific formula that would turn candy into gold. The client tells the nurse that if nobody will go along with his plan, he will drive his car off a cliff. Based on this information, the nurse records the following information about mental status:
a. Pressured speech, grandiosity, racing thoughts
b. Grandiosity, insomnia, suicidal ideations
c. Suicidal ideations, eating disorder, hyperactivity
d. Flight of ideas, hypersomnia, grandiosity

Dennis Howard

Numerade Educator

Problem 4

A 25-year-old client has been in inpatient treatment for bipolar I disorder (manic episode) for 10 days. He will be discharged soon, and the nurse is evaluating the effectiveness of the plan of care. Which outcome is the most appropriate indicator that the client's mania is resolving sufficiently for safe discharge?
a. The client has resumed caring for his physical appearance.
b. The client denies wanting to harm self or others.
c. The client exhibits appropriate levels of nutrition, fluid intake, exercise, and sleep.
d. The client makes realistic statements about self and others.

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Problem 5

Which of the following variables would the nurse identify as exerting the greatest effects on relapse prevention for clients with depressive or bipolar disorders?
a. Strong social support
b. High socioeconomic status
c. Stress management skills
d. Medication adherence

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