Nokea
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.
You may also like to solve these questions
A patient diagnosed with bipolar disorder commands other patients, 'Get me a book. Take this stuff out of here,' and other similar demands. What is the best initial approach by the nurse to interrupt this behavior without entering into a power struggle?
- A. Distraction: 'Let's go to the dining room for a snack.'
- B. Humor: 'How much are you paying servants these days?'
- C. Limit setting: 'You must stop ordering other patients around.'
- D. Honest feedback: 'Your controlling behavior is annoying others.'
Correct Answer: A
Rationale: Distraction leverages the patient's distractibility to redirect behavior constructively, avoiding power struggles. Other options may incite anger or seem confrontational.
A patient experiencing acute mania has exhausted the staff members by noon. The patient has joked, manipulated, insulted, and been aggressive all morning. Staff members are feeling defensive and fatigued. Which is the best action?
- A. Confer with the health care provider regarding use of seclusion for this patient.
- B. Hold a staff meeting to discuss consistency and limit setting approaches.
- C. Conduct a meeting with all patients to discuss the behavior.
- D. Explain to the patient that the behavior is unacceptable.
Correct Answer: B
Rationale: A staff meeting promotes consistency and limit setting, reducing staff splitting and frustration. Seclusion is not warranted, and other options are less effective.
A patient diagnosed with bipolar disorder has rapid cycles. The health care provider prescribes an anticonvulsant medication. To prepare teaching materials, which drug should the nurse anticipate will be prescribed?
- A. Phenytoin
- B. Clonidine
- C. Carbamazepine
- D. Chlorpromazine
Correct Answer: C
Rationale: Carbamazepine is effective for rapid-cycling bipolar disorder. Phenytoin and chlorpromazine are not used for mood stabilization, and clonidine is not an anticonvulsant for this purpose.
After hospital discharge, what is the priority intervention for a patient diagnosed with bipolar disorder who is taking antimanic medication?
- A. Decreasing physical activity
- B. Increasing food and fluids
- C. Meeting self-care needs
- D. Psychoeducation
Correct Answer: D
Rationale: Psychoeducation promotes medication adherence and relapse prevention, which are critical post-discharge. Other options are less prioritized.
A patient diagnosed with bipolar disorder is being treated on an outpatient basis with lithium carbonate 300mg three times daily and has now reported being nauseated. To reduce the nausea, what will the nurse suggest the lithium be taken with?
- A. Food
- B. An antacid
- C. A large glass of juice
- D. An antiemetic medication
Correct Answer: A
Rationale: Taking lithium with food can reduce nausea. Other options are less effective or inappropriate for managing this side effect.