Exam (elaborations)
NUR 2520 PSYCHIATRIC NURSING (BIPOLAR DISORDER ) GUARANTEED PASS
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NUR 2520 PSYCHIATRIC NURSING (BIPOLAR DISORDER ) GUARANTEED PASS
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PerformanceExit
Chapter 16 Mastery EAQ Graded
Due Mar 10, 2024 by 8:59 pm
Passed
31 out of 32 questions answered correctly
Completed on Feb 26, 2024 10:34 am
Incorrect (1)
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Which action would the nurse take to ensure adequate fluid and calorie intake for
the patient diagnosed with bipolar spectrum disorder who is experiencing an
acute manic episode? Select all that apply. One, some, or all responses may be
correct.
Some correct answers were not selected
Routinely monitor vital signs.
Provide easy-to-eat and finger foods.
Monitor intake and output every shift.
Sit with patient during meals to remind them to eat.
Offer high-calorie protein shakes in between meals.
Rationale
Patients experiencing acute mania are generally too animated and agitated to consider meeting
physical needs like eating and sleeping. The nurse must implement interventions to address those
needs and monitor the state of the patient's health related to those negelected needs. The
patient's state of aggitation and activity will likely not allow for them to sit for a meal.
p. 246
Correct (31)
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Which assessment finding regarding communication is likely in a patient
experiencing acute mania?
Mutism
Poverty of ideas
Clang associations
Psychomotor retardation
, Rationale
Clang associations are the stringing together of words because of their rhyming sounds, without
regard to their meaning. This communication style occurs commonly in patients experiencing
mania. Mutism, poverty of ideas, and psychomotor retardation are assessment findings usually
associated with depression rather than mania.
p. 242
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Which information is true concerning electroconvulsive therapy (ECT) treatment
and its effectiveness for patients diagnosed with bipolar disorder?
It is appropriate for all cases of manic behavior.
It is promising for patients with a history of rapid cycling.
Treatment is contraindicated for patients during depressive episodes.
Treatment shows little effectiveness for patients experiencing paranoid tendencies.
Rationale
ECT is used to subdue severe manic behavior, especially in patients with treatment-resistant
mania and patients with rapid cycling. It is not necessarily useful for all cases of mania. Depressive
episodes, particularly those with severe, catatonic, or treatment-resistant depression, are an
indication, not contraindication, for this treatment. ECT is effective for patients with bipolar
disorder who have rapid cycling and for those with paranoid-destructive features.
Test-Taking Tip: Multiple choice questions can be challenging because students think they will
recognize the right answer when they see it or that the right answer will somehow stand out from
the other choices. This is a dangerous misconception. The more carefully the question is
constructed, the more each of the choices will seem like the correct response.
p. 250
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Which statement is true of the relationship between bipolar disorder and suicide?
Patients diagnosed with bipolar disorder are not considered to be at a high risk for
suicide.
Patients need to be monitored only in the depressed phase because this is when suicides
occur.
Suicide is a significant risk because up to 50% of those diagnosed with bipolar disorder
attempt suicide.
As long as patients with bipolar disorder adhere to their medication regimen, there is
little risk for suicide.
Rationale
Mortality rates for bipolar disorder are severe because 25% to 50% of individuals with bipolar
disorder will make a suicide attempt at least once in their lifetimes, and the suicide rate of bipolar
individuals is 15% to 20%. Suicides occur in both the depressed and the manic phases. Bipolar
patients are always considered high risk for suicide because of their impulsivity while in the manic
phase and hopelessness when in the depressed phase. Although staying on medications may
decrease risk, there is no evidence to suggest that only patients who stop medications commit
suicide.
p. 239
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