Nokea
The spouse of a patient diagnosed with bipolar disorder asks what evidence supports the possibility of genetic transmission of bipolar disorders. What response supported by research should the nurse provide?
- A. A high proportion of patients diagnosed with bipolar disorders are found among creative writers.'
- B. A higher rate of relatives diagnosed with bipolar disorder is found among patients with bipolar disorder.'
- C. Patients diagnosed with bipolar disorder have higher rates of relatives who respond in an exaggerated way to daily stresses.'
- D. More individuals diagnosed with bipolar disorder come from high socioeconomic and educational backgrounds.'
Correct Answer: B
Rationale: Higher incidence of bipolar disorder among relatives supports genetic transmission. Other options do not provide direct evidence for genetic links.
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A patient diagnosed with bipolar disorder is being treated as an outpatient during a hypomanic episode. Which suggestions should the nurse provide to the family to assist in managing these behaviors?
- A. Provide structure.
- B. Limit credit card access.
- C. Encourage group social interaction.
- D. Limit work to half days.
- E. Monitor the patient's sleep patterns.
Correct Answer: A,B,E
Rationale: Structure, limited financial access, and sleep monitoring help manage hypomania by reducing stimulation and impulsivity. Group interaction and partial work may exacerbate symptoms.
At a unit meeting, staff members discuss the decor for a special room for patients experiencing mania. What select is the best option?
- A. Extra-large window with a view of the street
- B. Neutral walls with pale, simple accessories
- C. Brightly colored walls and print drapes
- D. Deep colors for walls and upholstery
Correct Answer: B
Rationale: A nonstimulating environment with neutral decor reduces sensory overload for manic patients. Other options may overstimulate or pose safety risks.
A patient diagnosed with bipolar disorder is dressed in a red leotard and brightly colored scarves. The patient cusses while twirling and shadowboxing. Then the patient says gaily, 'Do you like my scarves? Here... they are my gift to you.' How should the nurse document the patient's mood?
- A. Labile and euphoric
- B. Irritable and belligerent
- C. Highly suspicious and arrogant
- D. Excessively happy and confident
Correct Answer: A
Rationale: The patient has demonstrated angry behavior and pleasant, happy behavior within seconds of each other. Excessive happiness indicates euphoria. Mood swings are often rapid and seemingly without understandable reason in patients who are manic. These swings are documented as labile.
This nursing diagnosis applies to a patient experiencing mania: imbalanced nutrition: less than body requirements, related to insufficient caloric intake and hyperactivity as evidenced by 5-pound weight loss in 4 days. What is the most appropriate outcome related to patient behavior?
- A. Asking staff for assistance with feeding within 4 days
- B. Drinking six servings of a high-calorie, high-protein drink each day
- C. Consistently sitting with others for at least 30 minutes at mealtime within 1 week
- D. Wearing appropriate attire for age and gender within 1 week while in the psychiatric unit
Correct Answer: B
Rationale: High-calorie, high-protein supplements address the nutritional deficit caused by hyperactivity. Other options do not directly ensure adequate caloric intake.
A patient experiencing acute mania undresses in the group room and dances. What should be the nurse's first intervention?
- A. Quietly ask the patient, 'Why don't you put on your clothes?'
- B. Firmly tell the patient, 'Stop dancing, and put on your clothing.'
- C. Put a blanket around the patient and walk with the patient to a quiet room.
- D. Allow the patient stay in the group room while moving the other patients to a different area.
Correct Answer: C
Rationale: Covering the patient and removing them from the area protects them from embarrassment and maintains safety. Other options are less effective or inappropriate.