Exam (elaborations)
Chapter 26. Bipolar and Related Disorders
- Course
- Psychology
- Institution
- Forest Institute Of Professional Psychology
Chapter 26. Bipolar and Related Disorders
[Show more]
Content preview
Chapter 26. Bipolar and Related DisordersMULTIPLE CHOICE
1. 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 ofaabnirbg.ecorm. /tesht
ich is the most accurate documentation of this client’s behavior?
1. “Rates mood 8/10. Exhibiting looseness of association. Euphoric.”
2. “Mood euthymic. Exhibiting magical thinking. Restless.”
3. “Mood labile. Exhibiting delusions of reference. Hyperactive.”
4. “Agitated and pacing. Exhibiting grandiosity. Mood labile.”
ANS: 4
Chapter: Chapter 26, Bipolar and Related Disorders
Objective: Identify symptomatology associated with bipolar disorder and use this
information in client assessment.
Page: 527
Heading: Background Assessment Data > Stage II: Acute Mania
Integrated Processes: Communication and Documentation
Client Need: Psychosocial Integrity
Cognitive Level: Analysis [Analyzing]
Concept: Mood
Difficulty: Moderate
Feedback
1. This is incorrect. The nurse should document that this client’s behavior is “Agitated
and pacing. Exhibiting grandiosity. Mood labile.” The clieanbtiribs.ceomx/teisbtiting
signs of irritation accompanied by aggressive behavior. Looseness of association
refers to disturbed thought processes characterized by ideas that shift from one
unrelated topic to another.
2. This is incorrect. The nurse should document that this client’s behavior is “Agitated
and pacing. Exhibiting grandiosity. Mood labile.” The client is exhibiting signs of
irritation accompanied by aggressive behavior. Euthymia refers to a relatively
stable
3. This
mood. is incorrect. The nurse should document that this client’s behavior is “Agitated
and pacing. Exhibiting grandiosity. Mood labile.” The client is exhibiting signs of
irritation accompanied by aggressive behavior. Delusions
aarbeirbn.cootmp/tersetsented in the data provided.
4. This is correct. The nurse should document that this client’s behavior is “Agitated
and pacing. Exhibiting grandiosity. Mood labile.” The client is exhibiting signs of
irritation accompanied by aggressive behavior. Grandiosityabrirebf.ceorms/tteost an
exaggerated
, sense of power, importance, knowledge, or identity.
CON: Mood
2. A client diagnosed with bipolar I disorder is distraught over
inasboirmb.cnoima/tesxtperienced over the past 3 nights and a 12-lb weight loss over the
past 2 weeks. Which should be this client’s priority nursing diagnosis?
1. Knowledge deficit related to (R/T) bipolar disorder as
evidencaebdirbb.cyom(A/teEst B) concern about symptoms
2. Altered nutrition: less than body requirements R/T hyperactivity AEB weight loss
3. Risk for suicide R/T powerlessness AEB insomnia and anorexia
4. Altered sleep patterns R/T mania AEB insomnia for the past 3anbiirgb.hcotms /test
ANS: 2
Chapter: Chapter 26, Bipolar and Related Disorders Objective:
Formulate nursing diagnoses and goals of care for clients experiencing a manic
episode.
Page: 528
Heading: Diagnosis/Outcome Identification > Imbalanced Nutritaiobinrb:.cLomes/tsestthan Body
Requirements/Insomnia
Integrated Processes: Nursing Process: Assessment
Client Need: Physiological Integrity: Physiological Adaptation
Cognitive Level: Analysis [Analyzing]
Concept: Nutrition
Difficulty: Moderate
Feedback
1. This is incorrect. Altered nutrition is the priority nursing diagnosis. The client’s
weight loss indicates that the body’s metabolic needs haveanbiorbt.cboeme/tnesmt et.
The client’s physical need for proper nutrition must be met before the cognitive need
(knowledge
deficit).
2. This is correct. The client’s weight loss indicates that the body’s metabolic needs
have not been met. The nurse should prioritize interventionasbirtbo.coemn/steusrte
proper nutrition and health. The assessment data does not indicate that the client
is at risk for self-harm.
3. This is incorrect. The client’s weight loss indicates that
theabbirobd.cyom’s/temstetabolic needs have not been met. The nurse should
prioritize interventions to ensure proper nutrition and health. The assessment data
does not indicate that the client is at risk for self-harm/suicide.
4. This is incorrect. The client’s weight loss indicates that theabbirobd.cyom’s/temstetabolic
needs
have not been met. The nurse should prioritize interventions to ensure proper
nutrition and health. The need for proper nutrition must be met before sleep.
CON: Nutrition
, 3. The nurse is planning care for a client diagnosed with bipolar dabiisrbo.rcdomer/t:esmt
anic episode. Which should be the first priority of the listed client outcomes?
1. Maintains nutritional status
2. Interacts appropriately with peers
3. Remains free from injury
4. Sleeps 6 to 8 hours per night
ANS: 3
Chapter: Chapter 26, Bipolar and Related Disorders
Objective: Formulate nursing diagnoses and goals of care for clients experiencing a
manic episode.
Page: 528
Heading: Application Of The Nursing Process To Bipolar Disorder (Mania)>Outcome
Criteria
Integrated Processes: Nursing Process: Planning
Client Need: Psychosocial Integrity
Cognitive Level: Analysis [Analyzing]
Concept: Mood
Difficulty: Moderate
Feedback abirb.com/test
1. This is incorrect. During a manic episode, a client demonstrates excessive
psychomotor activity. Nutritional status must be restored (if client had not eaten for
days) and/or maintained; however, it is not the priority over client safety.
2. This is incorrect. During a manic episode, a client’s racingatbhirob.ucogmh/tess,t
overconnection
of ideas, and pressured speech interfere with communication and interactions with
others;
3. This however,Safety
is correct. this isofnot
thethe priority
client over client
and others is thesafety.
priorityabirbv.ceormp/thesyt sical
and social needs.
4. This is incorrect. Clients experiencing acute mania may go for many days without
sleep, but that is not the priority over client safety.
CON: Mood
4. 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. Which should be the priority nursing diagnosaibsirbf.ocormth/teist
client?
1. Risk for suicide R/T hopelessness
2. Anxiety: severe R/T hyperactivity
3. Imbalanced nutrition: less than body requirements R/T refusalatboirbe.caotm/test
4. Dysfunctional grieving R/T loss of employment
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 mentor2000. 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.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
72042 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now