1. Priority nursing intervention for a patient brought into the ER in a manic episode
Answer
Risk for injury r/t hyperactivity
2. Intervention to promote adequate nutritional intake for bipolar patient in a manic episode
Answer
Provide high-calorie, nutritious finger foods and snacks that the patient can eat on the run
3. Therapeutic range for lithium for acute mania
Answer
1.0-1.5 mEq/L
4. Medications used to treat Bipolar Disorder
Answer
Lithium Olanzepine (Zyprexa)
Carbamazepine (Tegretol)
Gapapentin (Neurontin)
5. Type of delusion a patient is demonstrating when she says, "My sister is jealous of me! She
is trying to make me look like I'm insane!"
Answer
Delusion of persecution
6. Common comorbid condition in children with bipolar disorder
Answer
ADHD
7. Signs & Symptoms of Lithium Toxicity
,Answer
Tinnitus Severe Diarrhea
Ataxia
8. Appropriate intervention when a manic patient walks out of room dressed in a provocative,
inappropriate outfit
Answer
Quietly walk patient back to room and help her change into something more appropriate
9. Prioritizing diagnoses for a patient experiencing a manic episode
Answer
1. Risk for injury r/t manic hyperactivity
2. Imbalanced nutrition
Answer
less than body requirements evidenced by loss of body weight & poor skin turgor
3. Disturbed sleep pattern evidenced by sleeping only 4-5 hours per night
4. Impaired social interaction evidenced by manipulation of others
10. How to treat a child with bipolar disorder and ADHD
Answer
Bipolar condition should be stabilized before medication for ADHD is given
11. Characteristic behavior of agoraphobia
Answer
Staying inside the homee for fear of being in a place from which the patient cannot escape
12. Implosion therapy for patient with phobic anxiety
, Answer
Patient is presented with massive exposure to a variety of stimuli associated with the phobic
object or situation
13. Most likely reason for a patient with OCD to spend many hours each day handwashing
Answer
To relieve anxiety
14. Initial care plan for a patient with OCD who handwashes obsessively
Answer
Struc- ture the patient's schedule so she has plenty of time for handwashing
15. Appropriate therapy for a patient with agoraphobia
Answer
Facing fear in gradual step progression
16. Appropriate nursing intervention for a patient with OCD who is no longer uncomfortable
on the unit or anxious around the staff and other patients
Answer
Set limits on the amount of time the patient may engage in a ritualistic behavior
17. Treatment for hair-pulling disorder
Answer
Awareness training
Competing response training Social support
18. Medication to treat Body Dysmorphic Disorder
Answer
Fluoxetine (Prozac)
19. Priority nursing intervention for a patient who has just arrived at the emergency
department having a panic attack
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