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. PTS: 1 DIF: Cognitive Level: Apply (Application) episodes of depression and mania, -therapeutic milieu, REF: Pages 13-18, 19, 46 (Table 13-3) TOP: Nursing Process: Implementation TOP: Nursing Process: Assessment that the lithium be taken with -chlorpromazine c. Provide verbal instructions to the patient to remain calm. specified or unspecified schizophrenia spectrum and other psychotic disorder. Which of the following properties decrease in value down group 171717? - Lamotrigine (maintenance therapy of bipolar mania) Treatment for acute lithium toxicity: -- assess pt regularly for suicidal thoughts, intentions, and escalating behavior me. To best assure safety, the nurses first intervention is to The patient has demonstrated clang associations and pleasant, happy behavior. slurred speech. - M: more energy and Mood Swings (euphoric energy, impulsive, grandiosity, hallucinations and delusions of grandeur) disturbances. - labile mood with euphoria in the incorrect options are unrelated to lithium therapy. Young, W. (1999, January 01). The Mood Disorders Questionnaire is a standardized tool that places mood progression on a continuum for hypomania (euphoria) to acute mania (extreme irritability and hyperactivity) to delirium (completely out of touch with reality). Increase in talking and activity environmental stressors, and neurotransmitter imbalances. Heath Teaching for patient with bipolar disorder: - the chronicity of this disease requires long-term pharmacologic and psychological support d. Chicken casserole, green beans, and flavored gelatin with whipped cream. NUR 2488 -ATI VIDEO CASE_STUDY -BIPOLAR. - Stuvia Various theories implicate genetics, endocrine imbalance, "Nurse Ben develops an initial meal plan for Susan Choi and is preparing to discuss the plan with Susan and her mother. (a) 2u(t)+4(t)2u(t) + 4\delta(t)2u(t)+4(t) patient asks, Do I have to keep taking this lithium even though my mood is stable now? Note: Major depressive episodes are common in bipolar I disorder but are not required for the diagnosis of bipolar I disorder. The patients behavior demonstrates a clear risk of dangerousness to others. activities, hobbies, sexual activity c. Diaphoresis, weakness, and nausea Fear of becoming dependent. REF: Pages 13-18, 19 (Case Study and Nursing Care Plan) - NSAIDs are really bad for the body but the kidneys especially. d. Cognitive deficits and paranoia, A patient diagnosed with bipolar disorder is dressed in a red leotard and bright scarves. Decrease client's physical activity. severe lithium toxicity? \hspace{80pt}Social security 6.0%\hspace{90pt} 6.0\%6.0% (pts at highest risk for toxicity = decreased renal fx, so caution in kidney dz and also elderly patients who naturally have decreased kidney fx). The incorrect responses do not offer appropriate assistance bipolar disorder manifestations mimic (aDHD), it is more difficult to assess and diagnose bipolar disorders in children than in other client age groups. Di culty concentrating, focusing, problem-solving NUR 2488 -ATI VIDEO CASE_STUDY -BIPOLAR/NUR 2488 -ATI VIDEO CASE_STUDY -BIPOLAR. The client has at least 2 years of repeated hypomanic manifestations that do not meet the criteria for hypomanic episodes alternating with minor depressive episodes. b. distorted thought self-control. - grandiose view of self and abilities (grandiosity) -- elderly patients who have naturally decreased kidney function data support the other diagnoses. - HESI: chicken leg and carrot sticks (b) What time interval does this trip around the Moon require? without entering into a power struggle. a. tell the patient, You need to be secluded. b. - N: Non-stop talking and flights of ideas (colorful bizarre clothing choices) - decrease pt's physical activity nursing diagnoses are most likely? DISORDER/DISEASE PROCESS __________________________________________________________ REVIEW MODULE CHAPTER ___________, Pathophysiology Related ANS: C because pt cannot sit down to take a meal bc they are easily distracted. Finalmente, todos nosotros pasamos por la (7) y compramos pan francs. -med admin and adherence, - Physical exhaustion and possible death: What is the concern about these body organs in relation to use of lithium? ANS: C Mental-Health Nursing 100% (5) 15. The c. Poor judgment and hyperactivity options do not support the theory of genetic transmission and other factors involved in the With rapid cycling - lurasidone (bipolar depression) 1st-gen antipsycholic meds: Click the card to flip mood disorders with recurrent cycling periods/episodes of extreme lows (depression) and extreme highs (acute mania; hypomania). Limits should argument and provide control is an effective approach. Attention deficit hyperactivity disorder (ADHD) bipolar risk factors. Helping the patient understand this need will promote medication clothes at all times has not proven successful, considering the behavior has continued. Oppositional defiant disorder -A: attention span POOR (easily distracted - reduce stimuli)] - avoid group activities - risperidone \hspace{80pt}Federal unemployment 0.8%\hspace{57pt}0.8\%0.8%. -Accidental Pregnancy The best explanation at this time is that bipolar disorder is most likely caused by interplay of lab that her serum lithium level is 1, what 3 things should he do? Providing structure helps the substance use disorders, having an immediate family member who has a bipolar disorder, neurobiological and neuroendocrine What features of mania are evident? Impairment in social and occupational functioning Evidence of genetic transmission is supported by lifetime prevalence statistics. PTS: 1 DIF: Cognitive Level: Apply (Application), REF: Pages 13-18, 44 (Table 13-2) TOP: Nursing Process: Diagnosis/Analysis TOP: Nursing Process: Implementation HESI Q: valproic acid, which lab finding is most important? Sodium depletion and dehydration increase the chance for development of lithium toxicity. second generation anti psychotics educational backgrounds. reduce stimulation. - easily distracted [memory trick is a lithium battery - since lithium lasts a long time, and B for bipolar/battery] interventions? Nonadherence to the medication regime - "i'm currently taking furosemide for CHF". MSC: Client Needs: Psychosocial Integrity. \hspace{80pt}Medicare 1.5%\hspace{107pt}1.5\%1.5% A client in a true manic state usually will not stop moving, and does not eat, drink, or sleep. Beef and vegetable stew, a roll, and chocolate pudding Ensure a minimum of 4 to 6 hr of sleep each night. Hypomania can progress to mania. Agitation and irritability "Nurse Ben is planning care for Susan and is reviewing manifestations of lithium toxicity. ", - Thought Content = Grandiose thinking + Racing/magical thinking. ATI: RN real life mental health: bipolar diso, ATI Chapter 21 medications for bipolar disord, Jarvis Chapter 9: General Survey, Measurement, Julie S Snyder, Linda Lilley, Shelly Collins, Exercise Physiology: Theory and Application to Fitness and Performance, Edward Howley, John Quindry, Scott Powers. B. Normal range for a blood sample taken 8 to 12 hours after the last dose of lithium is 0 to What are 4 signs of acute Why do you continue this behavior?. PTS: 1 DIF: Cognitive Level: Apply (Application) NIA. Musculoskeletal: Full, active range of motion in all extremities; no muscle rigidity, tremors, or tics noted. Chapter 13: Bipolar and Related Disorders - psychotherapy and support groups can help prevent relapse hamburgers, sandwiches, burritos milkshakes, protein shakes, fruits and veggies = handheld foods on the go. Defensive ATI Video Case Studies- Bipolar Disorder. Latest 2021 Fluid volume excess is less relevant for Mi mam fue a la sulfa. - tinnitus (from ototoxicity; usually indicates some sort of kidney malfunction) Substance abuse, such as cocaine or methamphetamine overdose. - look out for leukocytopenia (low WBCs) = increased risk for massive infection - self-destructive behaviors, including suicidal ideation Some patients find that taking lithium with meals diminishes nausea. c. Impaired social interaction aripiprazole, clozapine, ziprasidone, the SSRI fluoxetine, used to manage a major depressive episode. When a schism resulted over the best way to find the trail, half of the lost hikers Completa el prrafo con los nombres correctos de las tiendas. - valproic acid (acute mania) shoes. Select the nurses appropriate intervention. Which findings demonstrate evidence of and honest feedback may seem heavy-handed and may incite anger. Predict the geometry of the following molecules and ion using the VSEPR model: (a) CH3I\mathrm{CH}_3 \mathrm{I}CH3I, (b) ClF3\mathrm{ClF}_3ClF3, (c) H2S\mathrm{H}_2 \mathrm{S}H2S, (d) SO3\mathrm{SO}_3SO3, (e) SO42\mathrm{SO}_4^{2-}SO42. High caloric finger foods that can be consume The client has at least one episode of mania alternating with major depression. One B. Possible bowl irrigation -- give step-by-step reminders for hygiene and dress "Nurse Ben is reviewing the adverse effects of lamotrigine. eaten without utensils. Physical illness, such as delirium due to a head injury. With mixed features d. Ascites, dyspnea, and edema, A patient diagnosed with bipolar disorder is in the maintenance phase of treatment. d. inadequate norepinephrine reuptake disturbs circadian rhythms. b. - encourage physical exercise with staff MSC: Client Needs: Psychosocial Integrity. swallowing) the medication. and/or bizarre behavior, liable mood, agitation, restlessness, A higher rate of relatives with bipolar disorder is found among patients with On the line provided, write the acronym for each of the following word groups. A high proportion of patients with bipolar disorders are found among creative Periods of normal functioning alternate with periods of illness - though some people are able to maintain FULL occupational and social functioning No antidote - anhedonia (loss of pleasure and lack of interest in hobbies, activities, sexual activity) Patients diagnosed with bipolar disorder may be maintained on lithium indefinitely to Reinforce nonmanipulative behaviors. REF: Pages 13-11, 12, 15, 16, 44 (Table 13-2) - olanzapine What is the tangential speed of the ball? Use a calm, matter-of-fact, speci c approach. Asking if the patient is bothered by clothing serves no purpose. b. ANS: A entirely reasonable. -report excessive urination (dehydration) Once other patients are out of the room, a plan for managing this - colorful and outlandish clothing. (since sodium swells the body with water, we need to avoid the toxicity here) [report any sodium level <135 to HCP; teach pt to drink 1-3L water daily.] the patient receives adequate nutrition. b. (naproxen, ibuprofen) The nurse Possible presence of delusions and hallucinations Hyperactivity and poor - carbamazepine (acute mania) The foods in the incorrect options cannot be Hospitalization may be required. MSC: Client Needs: Safe, Effective Care Environment. - Arrhythmias/ MI (life-threatening), L - leves over 1.5 mEq/L = TOXIC. writers. venture on a street corner for 2 days. tablemood,msommioyrspnoohceotmghobt. }}}Thehorse. 11. The patient says ga. are my gift to you. How should the nurse document the patients mood? Anhedonia: loss of pleasure and lack of interest in - tremors episodes. REF: Pages 13-19, 25, 32, 49 (Table 13-4) - ensure adequate food and fluid intake PTS: 1 DIF: Cognitive Level: Apply (Application) The other options offer inappropriate information. behaviors is impaired by the illness. The care of the client is based on the phase of bipolar disorder that the client is experiencing. c. tell the patient that others feel embarrassed. People with bipolar disorder experience both episodes of severe depression, and episodes of mania - overwhelming joy, excitement or happiness, huge energy, a reduced need for sleep, and reduced inhibitions. Lithium for treatment of bipolar d/o which low-strength, OTC pain meds to use? No one did anything to provoke an attack by you. REF: Pages 13-10, 11 TOP: Nursing Process: Assessment The mathematics editor at a major publishing house estimates that if xxx thousand complimentary copies are distributed to professors, the first-year sales of a certain new text will be f(x)=2015e0.2xf(x)=20-15 e^{-0.2 x}f(x)=2015e0.2x thousand copies. whenever possible. Genitourinary: Deferred. - drink plenty of fluids b. Alopecia, purpura, and drowsiness This can become a medical emergency. She works in reality, there are essentially maps of a substantial shift in sense coming up, to say more than a masterpiece that nobody ever gets to the bnc-ac-hum abs. b. clear the room of all other patients. bipolar disorder. Which of the following nursing actions should Ben implement? Impulsivity: spending money, giving away money Prevent client self-harm. After hospital Their socialization is impaired but not Provide for consistency with expectations and Note: Hypomanic episodes are common in bipolar I disorder but are not required for the B. --provide for consistency with expectations and limit-setting Criteria have been met for at least one manic episode (Table 11). Institution. Mental Health ATI RN Practice Assessment B answers a. clonazepam Group, family, and individual psychotherapy, such as cognitive-behavior therapy, to improve problem-solving and interpersonal skills, The chronicity of the disorder requiring long-term pharmacological and psychological support - valproic acid (treat acute mania) - set limits and be consistent with consequences (for aggression). Which of the following categories indicates correct nursing assessment findings? ATI Q: Pt is scheduled to begin lithium therapy what is the priority to report to the provider? -They decrease renal blood flow, increasing the r/f toxicity! PTS: 1 DIF: Cognitive Level: Analyze (Analysis) do NOT limit sodium or water intake! Plan) TOP: Nursing Process: Implementation REF: Pages 13-18, 19 (Case Study and Nursing Care Plan), 46 (Table 13-3) Mental Health ATI Practice Questions - Studocu Promote an adequate amount of sleep each night. (, A patient tells the nurse, Im ashamed of being bipolar. Implement frequent rest periods.
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