ATI bipolar disorder scenario
Jeremiah
Terms in this set (16)
Nurse Ben performs Ms. Chois intial mental Thought Content
status assessment. Which of the following
categories indicates correct nursing The client is experiencing a manic episode with grandiose thinking, racing thoughts and
assessment findings? magical thinking.
Nurse Ben continues to collect information "According to the literature, there is strong genetic predisposition for bipolar disorders."
related to ms. Choi episode of manic
behavior. Which of the following responses Bipolar disorders have a strong genetic link. The risk for the development of bipolar
to the question asked by the clients mother, disorder may be 5 to 10 times higher for persons who have a relative with this disorder
Mrs. Choi, is appropriate? compared to those who do not.
"It is the expectation on this unit that there is no inappropriate physical contact. I need
Ms. Choi Behaves seductively towards Nurse you to stop."
Ben. Which of the following responses by
Ben is appropriate? The nurse is providing information about unit expectations and is giving clear
instructions for the client to stop the inappropriate behavior.
Nurse Ben is preparing to administer Promote sedation, decrease agitation, and prevent mania relapse.
Olanzapine (Zyprexa) to Ms.Choi who is in
the early phase of acute mania. Which of the A client who recieves olanzapine can experience sedation, decreased agitation and
following are expected outcomes of the fewer mania relapses. Common side effects of olanzapine includes an increase of
medication (select all that apply) premenstrual syndrome symptoms and weight gain.
Nurse Ben is preparing to administer 2mL
olanzapine (Zyprexa) 10mg IM to Ms.Choi,
who has acute mania. The nruse should 10mg x 2mL / 5mg = = 2mL
reconstitute the medication with 2.1 mL of
sterile water to yeild 5mg/ mL. How many
mL should Ben administer? (round to the
nearest whole number)
Explain the benefits of the injection.
Nurse Ben is attempting to administer the
Olanzapine IM to susan, but she forcefully
The client has the right to refuse treatment because her admission to the mental health
refuses it. Which of the following actions
facility was voluntary. Therefore, explaining the benefit of an intramuscular injection can
should Ben take?
increase the understanding and facilitate adherence.
Ask the AP to assist the client out of the room.
Ben is leading a group therapy session and
Susan interrupts the session. Which of the
The client is experiencing a manic episode and has little ability to benefit from group
following actions should Ben take to manage
therapy. Once the client is no longer in an acute state, she can participate in the group
Susan's disruptive behavior?
and recieve helpful peer support.
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