NUR190 Bipolar Exam Questions and Answers (100% Pass)
4 views 0 purchase
Course
NUR190 Bipolar
Institution
NUR190 Bipolar
NUR190 Bipolar Exam Questions and Answers (100% Pass)
Acute phase - Answers Acute mania and may need hospitalization.
goal: reduction of mania and client safety; assess suicide risk; one to one may be required
Continuation phase - Answers Remission of manifestations
Treatment: 4-9 months
Goal:...
Hypomania - Answers Less severe and lasts 4 days + plus 3+ mania infestations, less impaired
Rapid cycling - Answers Four or more episodes within 1 year
Bipolar 1 - Answers At least 1 episode of mania alternation MDD
Bipolar 2 - Answers 1 or more hypomaniac disorder alternation with MDD
Cyclothymic - Answers Hypomaniac manifestations (but not an actual episode) with minor depressive
episodes for 2y+
Nurse care - Answers Frequent rest periods, portable nutritious food, high calorie drinks, decrease
stimulation, seclusion is sometimes necessary, step by step reminders for dress and hygiene, monitor
fluid intake, sleep, specific approach for communication
The nurse observes that a client with bipolar disorder is pacing in the hall, talking loudly and rapidly, and
using elaborate hand gestures. The nurse concludes that the client is demonstrating which - Answers
Psychomotor agitation
A client with bipolar disorder begins taking lithium carbonate (lithium) 300 mg four times a day. After 3
days of therapy, the client says ," my hands are shaking." Which is the best response by the nurse? -
Answers "Fine motor tremors are an early effect of lithium therapy that usually subsides in a few
weeks."
What are the most common types of side effects from SSRIs? - Answers dizziness, drowsiness, dry mouth
, The nurse observes that a client with depression sat at a table with two other clients during lunch.
Which is the best feedback the nurse could give the client - Answers "I see you were sitting with others
at lunch today."
Which term typifies the speech of a person in the acute phase of mania? - Answers Flight of ideas
What is the rationale of a person taking lithium to have enough water and salt in his or her diet -
Answers Lithium is a salt that has greater affinity for receptor sites than sodium chloride
Identify the serum lithium for maintenance and saftey - Answers 0.5 to 1.5 mEq/L
A client says to the nurse, "you are the best nurse I've ever met. I want you to remember me." What is
an appropriate response by the nurse? - Answers "Are you thinking of suicide?"
A client with mania begins dancing around the day room. When she twirled her skirt in front of the male
clients, it was obvious she had no underwear on. The nurse distracts her and takes her to her room to
put underwear on. The nurse acted as she did to - Answers Minimize the clients embarrassment about
her present behavior
Which actions would indicate an increased suicidal risk? - Answers An abrupt improvement in mood
Calling family members to make amends
Statements such as "everything will be better soon."
Which activities would be appropriate for a client with mania? - Answers Drawing a picture
Playing table tennis
Stretching exercises
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?
A. "Rates mood 8/10. Exhibiting looseness of association. Euphoric."
B. "Mood euthymic. Exhibiting magical thinking. Restless."
C. "Mood labile. Exhibiting delusions of reference. Hyperactive."
D. "Agitated and pacing. Exhibiting grandiosity. Mood labile." - Answers D. "Agitated and pacing.
Exhibiting grandiosity. Mood labile."
List the characteristics of a manic episode - Answers Elated and happy or irritable and angry
Racing thoughts
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller TutorJosh. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $7.99. You're not tied to anything after your purchase.
