High caloric finger foods that can be consume during movement. embarrasses everyone. c. Hyperactivity; not eating and sleeping adherence. A patient waves a newspaper and says, I must have my credit card and use the computer the client has one or more hypomanic episodes alternating with major depressive episodes. The foods in the incorrect options cannot be 2. }}}Thehorse. 11. - prevent pt self- harm The nurse receives a laboratory report indicating a patients serum level is 1 mEq/L. PTS: 1 DIF: Cognitive Level: Apply (Application) and/or bizarre behavior, liable mood, agitation, restlessness, intentions, and escalating behavior. Importance of maintaining a regular sleep, meal, and activity pattern Asking whether the patient has enough The amount of wages subject to social security tax was $180,000\$180,000$180,000, while the amount of wages subject to federal and state unemployment taxes was $25,000\$25,000$25,000. Ensure adequate fluid and food intake. May take up to 3 weeks to get to therapeutic range. - anticonvulsant (hallucinations, delusions, and dramatically disturbed thoughts) may occur during manic - limit diuretics (furosemide, HCTZ; NO anticholinergic meds (like resp drug ipratropium bc they dry you out (PIUM? ATI PN/RN Comprehensive Predictors A,B,C (5 Versions) 100% Verified & Reliable Latest Update 2019/2020/2021 $20.45 18 X Sold 5 items Bundle contains 5 documents 1. During the continuation phase of treatment for bipolar disorder, the physical needs of the Which initial approach should the nurse select? NUR 2488 -ATI VIDEO CASE_STUDY -BIPOLAR/NUR 2488 -ATI VIDEO CASE_STUDY -BIPOLAR. - Arrhythmias/ MI (life-threatening), L - leves over 1.5 mEq/L = TOXIC. SATA - labile mood with euphoria July 4. REF: Pages 13-30, 31 TOP: Nursing Process: Planning The distracter, patient twirls and shadow boxes. A patient who repeatedly disrobes despite verbal limit setting needs more structure. PTS: 1 DIF: Cognitive Level: Apply (Application) Sodium depletion and dehydration increase the chance for development of lithium toxicity. Humor: How much are you paying servants these days? Although each of the nursing diagnoses listed is appropriate for a patient having a manic Supervising choice of clothes. Self-destructive behavior, including suicidal ideation lehongesmbehoiwr. friend do the shopping would not satisfy the patients need for immediacy and would c. Suspicious Nursing care is provided throughout this process. - 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. do NOT limit sodium or water intake! Diet: ("always a priority bc Maslow's!") d. Defensive coping is a common problem for patients diagnosed with bipolar disorder. PTS: 1 DIF: Cognitive Level: Apply (Application) - sugarless gum Although is @ 1 note that levels greater than 2 require hemodialysis, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. Mi hermano menor gast todo su dinero comprando dulces en la (5) -sleep disturbances, may come before or associated with or be brought on my episode of mania Physical illness, such as delirium due to a head injury. Hyperactivity, poor nutrition, Believing they are not effective. 2nd-gen antipsychotics: b. risperidone M76. MSC: Client Needs: Physiological Integrity. A higher rate of relatives with bipolar disorder is found among patients with - flight of ideas: rapid, continuous speech with sudden and frequent topic changes Financial irresponsibility may be avoided by limiting 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. d. invalid because of the time lapse since the last dose. TOP: Nursing Process: Planning 390 Report Document Comments Please sign inor registerto post comments. REF: Pages 13-28, 51(Table 13-5) TOP: Nursing Process: Implementation patient maintain appropriate behavior. -substance use disorder -alcohol cocaine use, -Use of substances DISORDER/DISEASE PROCESS __________________________________________________________ REVIEW MODULE CHAPTER ___________, Pathophysiology Related tablemood,msommioyrspnoohceotmghobt. TOP: Nursing Process: Planning MSC: Client Needs: Psychosocial Integrity, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Chapter 13: Bipolar and Related Disorders, websites and inviting politicians to join social networks. Reinforce nonmanipulative behaviors. which of the following questions is the priority? environmental stress, follow-up appointment, therapy, Di culty concentrating, focusing, problem-solving Which of the following categories indicates correct nursing assessment findings?" - Judgment/Insight = Minimizing - Comprehension/Response = WNL Students also viewed Disulfiram medication ATI template ANS: C No Manage medication appropriately. TOP: Nursing Process: Diagnosis/Analysis oliguria Chapter 13: Bipolar and Related Disorders The following are ATI exam questions that will prepare you for the exam. a. fetch Which is the most appropriate diet and why? A electronegativity and first ionization energy - blurred vision Psych: Bipolar Disorder for NCLEX, ATI and HESI Nexus Nursing 107K subscribers Subscribe 1.1K 24K views 1 year ago Psych Learn the important concepts to know for Bipolar patients. For an older person, the nurse should administer the ear medications by following the steps below: 1)Instill the prescribed drops by holding the dropper 1 cm ( inch) above the ear canal. --implement frequent rest periods d. Meeting self-care needs, A nurse assesses a patient who takes lithium. to the patient, threaten the patient with seclusion as punishment, and ask a rhetorical \hspace{80pt}Medicare 1.5%\hspace{107pt}1.5\%1.5% Which --provide a safe environment in the acute phase MSC: Client Needs: Physiological Integrity. Lack of energy to my family. These statements support which nursing diagnoses? The client has one or more hypomanic episodes alternation with major depressive episodes. mania. Hygiene, such as showering, combing her . patient are not as important an issue as they were during the acute episode. Which of the following categories indicates correct nursing assessment findings? Common expected SE of lithium (that we don't need to report), - dry mouth Assess the client regularly for suicidal thoughts, - Limit group contact: NO dining room or eating with others (increases stimuli); NO group activities (always 1-on-1 activity) Impulsivity: spending money, giving away money The patient continues to exhibit manic symptoms. discharge, treatment focuses on maintaining medication compliance and preventing relapse, d. inadequate norepinephrine reuptake disturbs circadian rhythms. (pts at highest risk for toxicity = decreased renal fx, so caution in kidney dz and also elderly patients who naturally have decreased kidney fx). If you are unable to control yourself, we will help you. REF: Pages 13-18, 19 (Case Study and Nursing Care Plan), 46 (Table 13-3) - psychotherapy and support groups can help prevent relapse 30 Report Document Comments Please sign inor registerto post comments. Idenfity strategies for enhancing communication and problem-solving skills. bipolar disorder. Oppositional defiant disorder PTS: 1 DIF: Cognitive Level: Understand (Comprehension) 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. valproate, lamotrigine, carbamazepine, including b. Alopecia, purpura, and drowsiness - grandiose view of self and abilities (grandiosity) Suspiciousness is not evide, perks and making obscene gestures at cars. How many times per day should the nurse expect to administer this medication? the client's comments. (2) para comprar rosas. Their socialization is impaired but not d. avoid eating aged cheese, processed meats, and red wine. Agitation and irritability Distraction: Lets go to the dining room for a snack. Mental-Health Nursing 100% (5) 15. No antidote REF: Pages 13-12, 19, 44 (Table 13-2) | Page 13-14; also incorporates content from Example UFO\underline{\text{UFO}}UFO 1. unidentified flying object, Thehorse.\underline{\phantom{\text{The horse. The spouse of a patient diagnosed with bipolar disorder asks what evidence supports the Prevent client self-harm. ", - Thought Content = Grandiose thinking + Racing/magical thinking. Determine the critical frequencies of the output if the input is c. double the lithium dose if diarrhea or vomiting occurs. (a) List three details that the narrator reveals and three that he does not reveal. d. Its unusual that the health care provider hasnt already stopped your medication., Which suggestions are appropriate for the family of a patient diagnosed with bipolar It is the expectation on this unit that there is no inappropriate physical contact, I need you to stop, How many mls of olanzapine is correct? disorder who is being treated as an outpatient during a hypomanic episode? b. REF: Pages 13-18, 19, 46 (Table 13-3) | Page 13-19 (Case Study and Nursing Care Plan) Decrease in personal hygiene Indications of impending relapse and ways to manage the crisis Providing structure helps the - pick out clothing for client venture on a street corner for 2 days. Euphoric Criteria have been met for at least one manic episode (Table 11). Saunders Q: Assessment findings that require immediate intervention for mania? Royal Academy of Dramatic Arts, "Nurse Ben performs Susan Choi's initial mental status assessment. High caloric finger foods that can be consume Defensive In certain cases, seclusion might be REF: Page 13-53 (Box 13-1) TOP: Nursing Process: Implementation Toxicity r/t Lithium-induced hypothyroidism and decreased kidney functions or failure. Maintenance of self-care needs: (Select all that apply.). happiness indicates euphoria. --monitor sleep, fluid intake, nutrition The family should supervise medication administration to prevent when do they usually emerge and early onset. psychotic, paranoid, and/or bizarre behavior during periods of mania. Possible bowl irrigation Decrease client's physical activity. What are 5 DSM-V diagnostic criteria for Bipolar I? c. above therapeutic limits. RN Comprehensive Predictor Form A 2019/100% Verified Correct Questions & Answers 2. hyperactive patient could eat while in motion. What features of mania are evident? 8th Edition. The client has at least one episode of mania alternating with major depression. episode, the priority lies with the patients physiological safety. are my gift to you. How should the nurse document the patients mood? need baseline lab tests on - thyroid - TSH - electrolytes - creatine Bipolar disorder a. Note: Hypomanic episodes are common in bipolar I disorder but are not required for the diagnosis of bipolar I disorder. lithium toxicity, can mimic ADHD, alternate periods REF: Pages 13-19, 25, 32, 49 (Table 13-4) sulfa. educational backgrounds. A patient diagnosed with bipolar disorder will be discharged tomorrow. Clonazepam is an anxiolytic; aripiprazole and risperidone are antipsychotic lithium. both of which are fostered by ongoing psychoeducation. Take vital signs la (4) para comprar un cuaderno y unos lpices. the rights of others, limits must be set in an effort to de-escalate the situation. Precipitating factors of relapse (e.g., sleep disturbance, use of alcohol, or ca eine) It incorporates client centered concepts related to depression, manic behaviors, mental status changes, therapeutic communications, psychosocial needs, and client education. episodes (see Table 9). The Dislike of interference and intolerance of criticism Four or more episodes of hypomania or acute mania within 1 year. The person has not slept or eaten 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). A. A patient with bipolar I disorder is more unstable than a patient diagnosed with - polyuria Yo pas por la options do not support the theory of genetic transmission and other factors involved in the mood disorders with recurrent episodes of depression and mania. Which of the following categories indicates correct nursing assessment findings? Assume the free-fall acceleration on the Moon is one-sixth of that on the Earth. Continued decline in sleep patterns may indicate the https://journalbipolardisorders.springeropen.com/articles/10.1186/s40345-015-0040-2. (2017). Use of substances (alcohol, cocaine, caffeine) can lead to an episode of mania. Evidence of genetic transmission is supported by lifetime prevalence statistics. The Safety and physiological needs have the highest priority. - sugarless hard candy These foods provide adequate nutrition, but more importantly, they are finger foods that the websites) are characteristic of manic episodes. After hospital Table 12, DSM-IV to DSM-5 Bipolar I Disorder Comparison - DSM-5 Changes - NCBI Bookshelf. PTS: 1 DIF: Cognitive Level: Apply (Application) - anhedonia (loss of pleasure and lack of interest in hobbies, activities, sexual activity) - Lamotrigine (maintenance therapy of bipolar mania) This could be because of several factors affecting him such as his situation or the people around him. Retrieved October 20, 2020, from, https://www.ncbi.nlm.nih.gov/books/NBK519712/table/ch3.t8/ Substance Abuse and Mental Health Services Administration. No one did anything to provoke an attack by you. mood disorders with recurrent cycling periods/episodes of extreme lows (depression) and extreme highs (acute mania; hypomania). b. ask if the patient finds clothes bothersome. \hspace{80pt}Social security 6.0%\hspace{90pt} 6.0\%6.0% --decrease stimulation without isolating pt. Finalmente, todos nosotros pasamos por la (7) y compramos pan francs. -- give step-by-step reminders for hygiene and dress - confusion Give concise explanations. - attention-seeking behavior: flashy dress and makeup, inappropriate behavior Taking the medication every day helps reduce the risk of a relapse. d. Restrain the patient to reduce hyperactivity and aggression. c. Do not hit anyone. b. drink twice the usual daily amount of fluid. d. You know we will not let you hit anyone. - urine 30mL/h or less = kidneys are in distress! - NSAIDs are really bad for the body but the kidneys especially. Neglect of ADLs, including nutrition and hydration - loxapine - Low platelets (thrombocytopenia) - big bleeding risk --avoid power struggles, do not react personally to pt comments, Mood Stabilizer HESI: what action should the nurse perform for a lithium level 1.8 mEq/L? Borderline personality disorder Psychological stressors can trigger an episode of mania. REF: Pages 13-18, 19, 46 (Table 13-3) TOP: Nursing Process: Implementation - poor judgement A. blood levels are drawn regularly to maintain therapeutic dose. - difficulty concentrating, focusing, problem-solving . Assist the client with self-care needs. - non-stop physical activity and poor nutritional intake (physical exhaustion, may cause death) Physical reports of discomfort/pain NG gastric lavage - agitation and irritability \hspace{80pt}Federal unemployment 0.8%\hspace{57pt}0.8\%0.8%. With seasonal pattern Distracting the patient can avoid power struggles. Plan) TOP: Nursing Process: Implementation Hospitalization is not required, and the client who has hypomania is less impaired. BD pt needs high calorie, high protein, high fluid intake (manic episodes require more energy!) Periods of normal functioning alternate with periods of illness - though some people are able to maintain FULL occupational and social functioning The nurse should implement hygiene, positive reinforcement, a low level of stimuli, and one on one care. disturbances. Chapter 13 Bipolar and Related Disorders Varcarolis' Foundations of Psychiatric-Mental Health Nursing 8th Editi. Guided imagery placed in a room with a client who has severe depression. -- kidney dz )", 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. - I: insomnia (cannot sleep for days) Provide for consistency with expectations and - will need alternative forms of birth control methods, - for treating acute bipolar mania are less helpful. episodes. ', "Nurse Ben is planning discharge outcomes for Susan Choi. - distractibility and decreased attention span MSC: Client Needs: Physiological Integrity. Substance abuse, such as cocaine or methamphetamine overdose. - carbamazepine (treat acute mania; also an anticonvulsant (seizures)) ATI Video Case Studies- Bipolar Disorder. The incorrect responses do not offer appropriate assistance - going rapidly from one activity to another d. sleep pattern stabilization. a. 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The care of the client with bipolar disorder will be based on the phase of mania the - Discovered that a sale on account to Kellogg Co., on June 28, S143, was incorrectly charged to the account of Keller Corp., $715.98. patient can be implemented. b. invites the patient to sit together and look at new fashion magazines. the patient receives adequate nutrition. Respiratory: Clear to auscultation bilaterally. This can become a medical emergency. - ensure adequate food and fluid intake - N&V Mental-Health Nursing 89% (18) 6. patients life. . (always question any prescription the MD writes for low sodium or dehydration). Halter: Varcarolis Foundations of Psychiatric Mental Health Nursing: A Clinical Approach, nursing intervention? - drink plenty of fluids (c) 4te2tu(t)4te^{-2t}u(t)4te2tu(t) Normal range for a blood sample taken 8 to 12 hours after the last dose of lithium is 0 to you thought about harming Skip to document Ask an Expert Sign inRegister Sign inRegister Home medication administrations, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. Giving step-by-step reminders for hygiene and dress. Hypomania can progress to mania. The three drugs in the stem of the question are all anticonvulsants. The nurse should monitor for which of the following findings? REF: Pages 13-32, 55 (Box 13-2) TOP: Nursing Process: Planning a. View more University Bevill State Community College Course Nursing Concepts II (04940) 110 Documents Academic year:2021/2022 Uploaded byCaptain Velveeta Helpful? ', "Nurse Ben and the nursing staff conduct a care planning conference to discuss nursing actions to promote Susan Choi's recovery. by schizoaffective disorder, schizophreniform disorder, delusional disorder, or other Suppose a technological advance reduces the cost of manufacturing TV screens. possible. (, A nurse prepares the plan of care for a patient experiencing an acute manic episode. Which of the following nursing actions should Ben implement? advise pts to drugs. access to cash and credit cards.