Bipolar Disorders: Practice Questions and Detailed Answers, Assignments of Nursing

A comprehensive overview of bipolar disorders, including detailed explanations of various types of bipolar disorders, such as bipolar i, bipolar ii, and cyclothymic disorder. It covers the key characteristics of each disorder, including the duration and intensity of mood episodes, as well as the impact on social and occupational functioning. The document also includes nursing interventions for managing patients with bipolar disorders, particularly during acute manic episodes, and discusses the importance of monitoring lithium levels and side effects in patients taking mood stabilizers. Overall, this document serves as a valuable resource for healthcare professionals, particularly nurses, who work with patients diagnosed with bipolar disorders.

Typology: Assignments

2024/2025

Available from 10/07/2024

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Chapter 12 Bipolar Disorders- Practice
Questions and Detailed Answers. Grade
A. 2024-2025
A chronic mood disturbance of at least 2-year duration involving numerous episodes of
hypomania and depressed mood, but of less intensity. - ANSCyclothymic
A disorder characterized by mood swings from profound depression to extreme
euphoria with intervening periods of normalcy. - ANSBipolar disorder
A full syndrome of manic symptoms that may also include depression. - ANSBipolar I
A mild form of mania that lasts at least 4 days, associated with hyperactivity but not
severe enough to cause marked impairment in social or occupational functioning. Also
known as hypomanic episode. - ANSHypomania
A newly admitted patient in an acute manic state has a nursing diagnosis of risk for
injury related to hyperactivity. Which nursing intervention is most appropriate?
a. Place the patient in a room with another hyperactive patient.
b. Have the patient sit in his room while you review all the rules of the unit.
c. Administer anti-psychotic medication as ordered prn by the physician.
d. Reinforce previously learned coping mechanisms to calm the patient down. - ANSc.
Administer anti-psychotic medication as ordered prn by the physician.
Characterized by chronic mood disturbance involving numerous episodes of hypomania
and depressed mood. - ANSCyclothymic
Consists of symptoms similar to those described for Major Depressive Disorders -
ANSThe depressed phase
Marge is a 68-year-old woman with a long history of bipolar disorder 1. She is brought
to the emergency room by her sister, who reports that Marge has been increasingly
agitated, is unable to sleep, and told her daughter that the mayor was calling her for
advice on running the city. The behavior is an example of:
1. Delusions of grandeur.
2. Delusions of persecution.
3. Auditory hallucinations.
4. Schizophrenia. - ANS1. Delusions of grandeur.
May last from days to months and cause marked disruption of occupational and social
functioning; may also include psychotic features. - ANSThe manic phase
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Chapter 12 Bipolar Disorders- Practice

Questions and Detailed Answers. Grade

A. 2024-

A chronic mood disturbance of at least 2-year duration involving numerous episodes of hypomania and depressed mood, but of less intensity. - ANSCyclothymic A disorder characterized by mood swings from profound depression to extreme euphoria with intervening periods of normalcy. - ANSBipolar disorder A full syndrome of manic symptoms that may also include depression. - ANSBipolar I A mild form of mania that lasts at least 4 days, associated with hyperactivity but not severe enough to cause marked impairment in social or occupational functioning. Also known as hypomanic episode. - ANSHypomania A newly admitted patient in an acute manic state has a nursing diagnosis of risk for injury related to hyperactivity. Which nursing intervention is most appropriate? a. Place the patient in a room with another hyperactive patient. b. Have the patient sit in his room while you review all the rules of the unit. c. Administer anti-psychotic medication as ordered prn by the physician. d. Reinforce previously learned coping mechanisms to calm the patient down. - ANSc. Administer anti-psychotic medication as ordered prn by the physician. Characterized by chronic mood disturbance involving numerous episodes of hypomania and depressed mood. - ANSCyclothymic Consists of symptoms similar to those described for Major Depressive Disorders - ANSThe depressed phase Marge is a 68-year-old woman with a long history of bipolar disorder 1. She is brought to the emergency room by her sister, who reports that Marge has been increasingly agitated, is unable to sleep, and told her daughter that the mayor was calling her for advice on running the city. The behavior is an example of:

  1. Delusions of grandeur.
  2. Delusions of persecution.
  3. Auditory hallucinations.
  4. Schizophrenia. - ANS1. Delusions of grandeur. May last from days to months and cause marked disruption of occupational and social functioning; may also include psychotic features. - ANSThe manic phase

Mrs. A is admitted to the medical/surgical unit with a diagnosis of dehydration and pneumonia. She has a history of bipolar disorder and is controlled on lithium. As her nurse, you know you must: a. Treat her carefully because she may become catatonic. b. Observe signs of lithium toxicity from dehydration. c. Alert the other staff of the "psych" patient on the unit. d. Treat the medical illness only. - ANSb. Observe signs of lithium toxicity from dehydration. Mrs. D has an appointment with the doctor. She began taking lithium one month ago as prescribed. She now states that her mouth and lips are constantly dry and she sometimes feels confused. She says, "I stagger like I'm drunk sometimes when I walk." You suspect: a. She is drinking to combat her depression. b. She is making it up to get different medications. c. She took too much lithium. d. She is dehydrated. - ANSd. She is dehydrated. Patience Monitor lithium levels, monitor for side effects Promote honest/therapeutic communication Provide consistency in care Encourage healthy nutrition Encourage appropriate activity Provide clear, firm limits Ensure patient safety - ANSNursing Interventions Predominant mood that is elevated, expansive, or irritable with frenzied motor activity. Also known as manic episode. - ANSMania Recurrent bouts of major depression with episodic occurrences of hypomania. This patient may never have experienced a full episode of mania. - ANSBipolar II The physician orders lithium carbonate 600 mg tid for a newly diagnosed bipolar patient. The therapeutic blood level for acute mania is:

  1. 1.0-1.5 mEq/L
  2. 10-15 mEq/L
  3. 0.5-1.0 mEq/L
  4. 5-10 mEq/L - ANS1. 1.0-1.5 mEq/L What is cyclothymic disorder? a. A chronic mood disorder of at least 2 years. b. A one-time event of hypomania. c. A continuous state of hypomania for 2 years. d. A chronic depression for 2 years. - ANSa. A chronic mood disorder of at least 2 years.