Which of the following categories indicates correct nursing assessment findings?" - Judgment/Insight = Minimizing - Comprehension/Response = WNL -Therapeutic Milieu (within acute care mental health facility need baseline lab tests on - thyroid - TSH - electrolytes - creatine Bipolar disorder Chapter 14 TOP: Nursing Process: Diagnosis/Analysis a. within therapeutic limits. REF: Pages 13-32, 55 (Box 13-2) TOP: Nursing Process: Planning d. Chicken casserole, green beans, and flavored gelatin with whipped cream. PTS: 1 DIF: Cognitive Level: Apply (Application) Yo pas por la when do they usually emerge and early onset early adulthood, earlyonset bipolar disorder can be diagnosed in pediatric clients. PTS: 1 DIF: Cognitive Level: Analyze (Analysis) manipulative behavior, poor judgment, When the patient is unable to control his or her behavior and violates or threatens to violate Mood Stabilizing Anti-Epileptic to Client Problem, Therapeutic Procedures Interprofessional Care, Nursing Care Medications Client Education, mood disorder with recurrent c. Provide verbal instructions to the patient to remain calm. c. Suspicious ANS: B - SSRI fluoxetine (major depressive episode), Therapeutic Procedures for Bipolar Disorder, - ECT - used to treat moderate extreme manic behavior when lithium (pharm therapy) has not worked c. help the patient down from the table. What technology is used to obtain energy from renewable resources? PTS: 1 DIF: Cognitive Level: Understand (Comprehension) --decrease stimulation without isolating pt. c. Impaired social interaction - skin rashes, - N&V Telling the patient that The foods in the incorrect options cannot be - self-destructive behaviors, including suicidal ideation ATI Mental Health Bipolar Disorder Flashcards | Quizlet ATI Mental Health Bipolar Disorder 4.8 (16 reviews) "Nurse Ben performs Susan Choi's initial mental status assessment. 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Decreasing physical activity --provide portable nutritious foods (bc pt might not be able to sit down for a meal) Hyperactivity (activity without sleep) and poor judgment (posting rhymes on government Chronic low self-esteem and powerlessness are interwoven in the patients statements. access to cash and credit cards. mania: an abnormally elevated mood (described as expansive or irritable). On the line provided, write the acronym for each of the following word groups. Crisis: 1. ANS: B Chapter 13 Bipolar and Related Disorders Varcarolis' Foundations of Psychiatric-Mental Health Nursing 8th Editi. - loxapine Decrease stimulation without isolating the client if increased talking, flight of ideas, impulsivity, Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), The Methodology of the Social Sciences (Max Weber), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Psychology (David G. Myers; C. Nathan DeWall), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Civilization and its Discontents (Sigmund Freud), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Anticonvulsants that act as mood stabilizers, including - easily distracted Promote adequate fluid and food intake. d. inadequate norepinephrine reuptake disturbs circadian rhythms. You need to say about another quizlet disorder ati video case study bipolar prisoner who claimed to be unbearably dull. PTS: 1 DIF: Cognitive Level: Apply (Application) What interventions should the nurse include in Susan's plan of care? - lamotrigine (used for maintenance therapy in bipolar mania), Antidepressants (SSRI fluoxetine) but only in combination with mood stabilizers since antidepressants alone can trigger a manic episode, - treats acute bipolar mania - or weight LOSS (anorexia and mild GI upset from med), Teaching intervention for dry mouth/thirst from lithium, -ice chips MSC: Client Needs: Psychosocial Integrity. REF: Pages 13-26, 49 (Table 13-4) TOP: Nursing Process: Assessment TOP: Nursing Process: Diagnosis/Analysis A patient with hypomania is expansive, grandiose, and labile; uses poor judgment; spends a. direct the patient to wear clothes at all times. a. Deficient diversional activity Which of the following categories indicates correct nursing assessment findings? Dislike of interference and intolerance of criticism The distractibility characteristic of manic episodes can assist the nurse to direct the patient hamburgers, sandwiches, burritos milkshakes, protein shakes, fruits and veggies = handheld foods on the go. activity. Abnormally elevated mood, which may also be described as expansive or irritable; usually requires inpatient treatment. A particular network is known to be characterized by the transfer function H(s)=s+1/(s2+23s+60)H(s) = s + 1/(s^2 + 23s + 60)H(s)=s+1/(s2+23s+60). MSC: Client Needs: Physiological Integrity, PTS: 1 DIF: Cognitive Level: Analyze (Analysis) Comorbidities associated with Bipolar disorder, -Substance use disorder - client who has a substance use tends to experience more rapid cycling of mania that clients who do not. ANS: B bipolar risks for relapse. Which of the following responses to the question asked by the client's mother is appropriate? Do not involve the Esta maana mi familia fue al centro para hacer diligencias. to the patient, threaten the patient with seclusion as punishment, and ask a rhetorical Fluid volume excess is less relevant for c. interest in the environment. RN Comprehensive Predictor Form A 2019/100% Verified Correct Questions & Answers 2. - ensure adequate food and fluid intake b. decode What patient is at highest risk for lithium toxicity? The patient says ga. are my gift to you. How should the nurse document the patients mood? -- a pt in a true manic state usually will not stop moving and does not eat, drink, or sleep. When Im manic, my behavior Psychomotor retardation or agitation. a. With peripartum onset b. ask if the patient finds clothes bothersome. MSC: Client Needs: Safe, Effective Care Environment. REF: Pages 13-26, 27, 28, 49 (Table 13-4) b. clear the room of all other patients. 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TOP: Nursing Process: Assessment MSC: Client Needs: Physiological Integrity. - possible presence of delusions or hallucinations -sleep disturbances, may come before or associated with or be brought on my episode of mania -- elderly patients who have naturally decreased kidney function A higher rate of relatives with bipolar disorder is found among patients with The rope makes an angle of. TOP: Nursing Process: Implementation b. Halter: Varcarolis Foundations of Psychiatric Mental Health Nursing: A Clinical Approach, Avoid power struggles, and do not react personally to The nurse should implement hygiene, positive reinforcement, a low level of stimuli, and one on one care. the only way to safely decrease stimulation for the client. --protect client from poor judgement and impulse behaviors (giving money away, sexual indiscretion MDD case study. Communication: -weight GAIN (educate about diet and exercise) Use marginal analysis to estimate the increase in first-year sales that will result if 1,000 additional complimentary copies are distributed. patients with mood disorders than is deficient fluid volume. - Key Words: Report Fever and Sore Throat **** b. - "i'm currently taking furosemide for CHF". This explains how Mr. P feels. sleep. This can become a medical emergency. -med admin and adherence, - Physical exhaustion and possible death: Cross), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Give Me Liberty! perks and making obscene gestures at cars. REF: Page 13-8 TOP: Nursing Process: Implementation possibility of genetic transmission of bipolar disorders. Psychosis Bipolar ATI REal Life 3.0 University University of Arkansas Course Mental Health (3872) 6 Documents Academic year:2020/2021 Uploaded byTonia Laurine Lee Helpful? The other behaviors are less threatening to the Self-destructive behavior, including suicidal ideation Blurred Vision (a) 2u(t)+4(t)2u(t) + 4\delta(t)2u(t)+4(t) lab that her serum lithium level is 1, what 3 things should he do? Electroconvulsive therapy (ECT) may be used to subdue extreme manic behavior, especially when pharmacologic therapy, such as lithium, has not worked. Euphoric The nurse should monitor for which of the following findings? the client has one or more hypomanic episodes alternating with major depressive episodes. a. episode, the priority lies with the patients physiological safety. - tearful, crying - use another form of BCP Increased muscle tension and anxiety Please check the country and number. A patient experiencing acute mania is dancing atop a pool table in the recreation room. Respiratory: Clear to auscultation bilaterally. - N/V -- supervise choice of clothes Use a calm, matter-of-fact, speci c approach. Mi abuelo fue a la (6) y compr pescado fresco. Most of the questions show up on the exam so study! With atypical features - poor judgement Leading a community meeting would be -oral hygiene. (always question any prescription the MD writes for low sodium or dehydration). - foods on the go (NCLEX) - does not need fork etc. Which of the following is an appropriate response by Ben? Choose all that apply. -promote adequate amount of sleep each night Some patients find that taking lithium with meals diminishes nausea. Hygiene, such as showering, combing her . - colorful and outlandish clothing. slurred speech. MSC: Client Needs: Physiological Integrity. Bipolar Case Study - Scenario Case Study 143 Bipolar Disorder You are the registered nurse case - Studocu Case study case study 143 bipolar disorder difficulty: beginning setting: outpatient clinic index words: bipolar disorder, mania, hypomania, depression, lithium Skip to document Ask an Expert Sign inRegister Sign inRegister Home aripiprazole, clozapine, ziprasidone, the SSRI fluoxetine, used to manage a major depressive episode. d. arrange for one-on-one supervision. Excessive la (4) para comprar un cuaderno y unos lpices. With mixed features 1. review education material about bipolar disorder and its management 2. Which is the most appropriate diet and why? MSC: Client Needs: Safe, Effective Care Environment, MSC: Client Needs: Physiological Integrity. c. lamotrigine Can be used to subdue extreme manic behavior, especially when pharmacological therapy, such as lithium, has not worked. - Lithium Carbonate (therapeutic level 0.6-1.2; acute episode 1.0-1.5; toxic levels >1.5/2.0) ', "Nurse Ben is planning discharge outcomes for Susan Choi. This result is It incorporates client centered concepts related to depression, manic behaviors, mental status changes, therapeutic communications, psychosocial needs, and client education. REF: Page 13-53 (Box 13-1) TOP: Nursing Process: Planning A health teaching plan for a patient taking lithium should include instructions to VALLLLLLLL SE: Importance of maintaining a regular sleep, meal, and activity pattern d. sleep pattern stabilization. - constant delusions. People with mania are hyperactive and often do not take time to eat and drink properly. No antidote -A client in a true manic state usually will not stop moving and does not eat, drink, or -substance use disorder -alcohol cocaine use, -Use of substances REF: Pages 13-18, 19 (Case Study and Nursing Care Plan), 46 (Table 13-3) the patient receives adequate nutrition. Their socialization is impaired but not MSC: Client Needs: Safe, Effective Care Environment. reminders for hygiene, blood and urine to monitor for Mood disorder questionnaire friend do the shopping would not satisfy the patients need for immediacy and would - A: Agitation (set limits and structure environment) The patient says gaily, Do you like my scarves? With mood-incongruent psychotic features NIA. Limit setting alternate aerobic exercise with scheduled periods of rest. -Medications -. The client has at least one episode of mania alternating with major depression. b. Saunders Q: Assessment findings that require immediate intervention for mania? DISORDER/DISEASE PROCESS __________________________________________________________ REVIEW MODULE CHAPTER ___________, Pathophysiology Related Demanding and manipulative behavior c. tells the patient computer use is not allowed until self-control improves. Chapter 13: Bipolar and Related Disorders Denial of illness, Flat, blunted, labile affect The nurse receives a laboratory report indicating a patients serum level is 1 mEq/L. Touching Sleep is reduced. PTS: 1 DIF: Cognitive Level: Apply (Application) SIDE EFFECTS: - prevent pt self- harm What is the treatment for acute severe lithium toxicity? --use calm, matter-of-fact specific approach diagnosis of bipolar I disorder. b. Irritable depression. These foods provide adequate nutrition, but more importantly, they are finger foods that the July 4. Which comment by the nurse is appropriate? ANS: C ATI Video Case Studies- Bipolar Disorder This will be submitted into the Module 5 drop box within theclinical shellno later than 8/3/19 by midnight. This could be because of several factors affecting him such as his situation or the people around him. This new feature enables different reading modes for our document viewer. d. More individuals with bipolar disorder come from high socioeconomic and If you are unable to control yourself, we will help you. - hepatotoxicity Once other patients are out of the room, a plan for managing this a. photovoltaic cells, b. synthetic oil, c. wind moving blades, d. D models. a mood stabilizing medication. Impulsivity: spending money, giving away money c. above therapeutic limits. b. c. Patients with bipolar disorder have higher rates of relatives who respond in an psychosocial - neuromuscular excitability (tremors, myoclonic jerks) - or "horse-hand" tremors, ataxia, confusion, or agitation REF: Pages 13-19 (Case Study and Nursing Care Plan), 32, 34, 55 (Box 13-2) such as giving money away and sexual indiscretions. eaten without utensils. environmental stressors, and neurotransmitter imbalances. specified or unspecified schizophrenia spectrum and other psychotic disorder. The total amount withheld from employee wages for federal taxes was $40,000\$40,000$40,000. (, The plan of care for a patient in the manic state of bipolar disorder should include which Sleep disturbances can come before, be associated with, or be brought on by an episode of mania. In the __________ part of the fetch-decode-execute cycle, the CPU determines which operation it should perform. The Antidepressants: exaggerated way to daily stress. Providing structure helps the Flight of ideas: rapid, continuous speech with sudden and frequent topic change c. Do not hit anyone. Young, W. (1999, January 01). may have been preceded by and may be followed by hypomanic or major depressive Irritability, belligerence, excessive happiness, and confidence Asking whether the patient has enough SN: Acute Manic Episode Nursing Interventions: 1. reduce stimulation (provide a quiet, calm environment) private room near/across from the nurse's station. Nursing care is provided throughout this process. Prevent client self-harm. With anxious distress No d. immediately after the instruction is executed. Oppositional defiant disorder Case management to provide follow-up for the client the family medications. PTS: 1 DIF: Cognitive Level: Understand (Comprehension) patient asks, Do I have to keep taking this lithium even though my mood is stable now? B. d. Consider the need to check the lithium level. ANS: B, C Distracting the patient can avoid power struggles. Physical Exercise: with the staff to burn off the excess energy. Listen to and act on legitimate client grievances. - encourage physical exercise with staff The other options offer inappropriate information. With melancholic features inappropriately; and is over-stimulated by a busy environment. ANS: A might not be able to sit down to eat. An outpatient diagnosed with bipolar disorder takes lithium carbonate 300 mg three times websites) are characteristic of manic episodes. disorders. Activities that require With mood-congruent psychotic features )", ATI: RN real life mental health: bipolar diso, Real Life 3.0 Module: RN Mental Health Alcoho, RN Virtual-ATI > Pharmacology > Pharmacologic, NUP 403 Comprehensive Final Exam - Evolve, The Language of Composition: Reading, Writing, Rhetoric, Lawrence Scanlon, Renee H. Shea, Robin Dissin Aufses, Literature and Composition: Reading, Writing,Thinking, Carol Jago, Lawrence Scanlon, Renee H. Shea, Robin Dissin Aufses. Their high levels of activity consume calories, so deficits in nutrition may occur. - sugarless hard candy for the diagnosis of bipolar I disorder. primary importance. - labile mood with euphoria If you do that one more time, you will be secluded immediately. advantage. episodes (see Table 9). ATI Pharmacology Proctored. c. tell the patient that others feel embarrassed. coping is more relevant for patients with mania. A nurse in the emergency department is admitting a client who reports a headache along with heart palpitations after having a glass of wine with dinner a few hours ago. antidepressants, Lithium carbonate These. - olanzapine ANS: A - attention-seeking behavior: flashy dress and makeup, inappropriate behavior b. Alopecia, purpura, and drowsiness Protect client from poor judgment and impulsive behavior, Hyperactivity, poor nutrition, b. - foods not good for mania patient: salads, spaghetti, soup (not on the go), TOP MISSED NCLEX Q: Interventions for a client with bipolar disorder who is admitted to the hospital for an acute manic episode? A patient waves a newspaper and says, I must have my credit card and use the computer Prevent client self-harm. patients life. A high proportion of patients with bipolar disorders are found among creative - flight of ideas: rapid, continuous speech with sudden and frequent topic changes d. asks whether the patient has enough money to pay for the purchases. me. To best assure safety, the nurses first intervention is to Table 12, DSM-IV to DSM-5 Bipolar I Disorder Comparison - DSM-5 Changes - NCBI Bookshelf. Safety and physiological needs have the highest priority. a. tell the patient, You need to be secluded. ATI Bipolar Disorder What are bipolar disorders? What is Nurse Bens appropriate response to Susans seductive behavior? When Susan is readmitted for depression and states she feels like she is in a big dark - set limits and be consistent with consequences (for aggression). Take vital signs patient are not as important an issue as they were during the acute episode. Threatening the patient or assembling a show of force is likely Assist the client with self-care needs. A patient with acute mania has disrobed in the hall three times in 2 hours. -report excessive urination (dehydration) - neglect of ADLs (including nutrition and hydration) The person has not slept or eaten for 3 days. Note: Major depressive episodes are common in bipolar I disorder but are not required Consider the markets for film streaming services, TV screens, and tickets at movie theaters.
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