A nurse is caring for a client who has bipolar disorder and has been taking lithium for 1 year
Adult Psychiatric & Mental Health Nurse Practitioner Exam Sample QuestionsThe following sample questions are similar to those on the examination but do not represent the full range of content or levels of difficulty. The answers to the sample questions are provided after the last question. Please note: Taking these or any sample question(s) is not a requirement to sit for an actual certification examination. Completion of these or any other sample question(s) does not imply eligibility for certification or successful performance on any certification examination. Show
To respond to the sample questions, first enter your first and last names in the boxes below (this information will not be recorded; it is strictly for purposes of identifying your results). Then click the button corresponding to the best answer for each question. When you are finished, click the "Evaluate" button at the bottom of the page. A new browser window will open, displaying your results, which you may print, if you wish. This practice exam is not timed, and you may take it as many times as you wish. Good luck! Bipolar disorders are mood disorders characterized by mood swings from profound depression to extreme euphoria (mania), with intervening periods of normalcy. Learn about the nursing management, assessment, diagnosis, and care planning for bipolar disorder in this study guide. Types of Bipolar Disorder
PathophysiologyThe pathophysiology of bipolar disorder, or manic-depressive illness (MDI), has not been determined, and no objective biologic markers correspond definitively with the disease state.
Statistics and IncidencesGlobally, the life-long prevalence rate of bipolar disorder is 0.3 to 1.5%.
CausesPredisposing factors to bipolar disorder include:
Clinical ManifestationsThese are the symptoms of bipolar disorder:
Assessment and Diagnostic FindingsA number of reasons exist for obtaining selected laboratory studies in patients with bipolar disorder; an extensive range of tests is indicated, because bipolar disorder encompasses both depression and mania and because a significant number of medical causes for each state exist.
Medical Management of Bipolar DisorderThe treatment of bipolar disorder is directly related to the phase of the episode (i.e. depression or mania) and the severity of that phase.
Pharmacological ManagementAppropriate medication for managing bipolar disorder depends on the stage the patient is experiencing.
Nursing management of a patient with bipolar disorder include the following: Nursing AssessmentAssessment of a patient with bipolar disorder include:
Nursing Diagnosis for Bipolar DisorderNursing diagnoses commonly established for clients in the manic phase are as follows:
Nursing Care Planning and GoalsMain Article: 6 Bipolar Disorders Nursing Care Plans Nursing care planning goals for bipolar disorders are:
Nursing InterventionsNursing interventions for bipolar disorder client are:
EvaluationThe goals are met as evidenced by:
Documentation GuidelinesDocumentation in a patient with bipolar disorder include:
Practice Quiz: Bipolar DisorderQuiz time about bipolar disorder from our nursing test bank! Please visit our nursing test bank page for more NCLEX practice questions. 1. Ralph is admitted at Nurseslabs Medical Center with the diagnosis of bipolar disorder, single manic episode. Which of the following behaviors would the nurse expect to assess? A. Apathy, poor insight, and poverty of ideas. 1. Answer: C. Elation, hyperactivity, and impaired judgment.
2. In a day treatment program, a manic client is creating considerable chaos, behaving in a dominating and manipulative way. Which nursing intervention is most appropriate? A. Allow the peer group to intervene. 2. Answer: B. Describe acceptable behavior and set realistic limits with the client.
3. Nurse Nadine is assessing James who is diagnosed with bipolar disorder. The nurse would expect to find a history of: A. A depressive episode followed by prolonged sadness. 3. Answer: C. Symptoms of mania that may or may not be followed by depression.
4. The nurse is planning activities for a client who has bipolar disorder with aggressive social behavior. Which of the following activities would be most appropriate for this client? A. Ping pong. 4. Answer: B. Writing.
5. The nurse assesses a client with the admitting diagnosis of bipolar affective disorder, mania. The symptom presented by the client that requires the nurse’s immediate intervention is the client’s: A. Outlandish behaviors and inappropriate dress. 5. Answer: C. Nonstop physical activity and poor nutritional intake.
References and SourcesInteresting resources for further reading about bipolar disorder:
What does lithium do to bipolar?Lithium helps reduce the severity and frequency of mania — the elevated, euphoric end of the mood scale — and may help to treat bipolar depression. If you have been at risk of suicide, lithium may help reduce these feelings. Lithium also helps prevent manic and depressive episodes occurring in the future.
Which of the following instructions should you give to a patient taking lithium carbonate?Take this medication by mouth as directed by your doctor, usually 2-3 times daily. Take lithium with or immediately after meals to lessen stomach upset. Do not crush or chew this medication.
What is the therapeutic effect of lithium?Lithium is a type of medicine known as a mood stabiliser. It's used to treat mood disorders such as: mania (feeling highly excited, overactive or distracted) hypo-mania (similar to mania, but less severe)
How much water to drink when taking lithium?Your doctor will also probably suggest you drink eight to12 glasses of water or fluid a day during treatment and use a normal amount of salt in your food. Both salt and fluid can affect the levels of lithium in your blood, so it's important to consume a steady amount every day.
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