Bipolar Disorders
BB quiz
1. A pt has been dx as having mania. The nurse anticipates the physician will most likely prescribe:
a. Lithium
2. SJ
... [Show More] Syndrome is a severe and potentially fatal syndrome that is indicated by a rash and flu- like symptoms. It sometimes is caused by which medication?
a. Lamotrigine (Lamictal)
3. A pt develops mania after dc-ing Lithium. New meds are written to resume 2x daily Lithium and begin Zyprena (olanzapine). The addition of Zyprexa will:
a. Bring hyperactivity under rapid control
4. A pt is admitted to the hospital w/ a dx of Bipolar Disorder. He has been taking Lithium for several yrs, but no longer effective in managing his acute manic episodes. Which type of med is likely to be prescribed now?
a. Anticonvulsant
5. A pt who has been on Depakote (valproate) for bipolar disorder for 2 weeks continues to be manic. The serum valproate level is 25 mcg.ml. Which of the following applies?
a. This is below the therapeutic range, so the dose needs to be increased
6. A pt dx w/ Bipolar disorder is hyperactive and manic after dc-ing Lithium. The pt threatens to hit another pt. Which comment by the nurse is appropriate?
a. “Do not hit anyone. If you’re unable to control yourself, we’ll help you.”
7. A person is directing traffic on a busy street and making obscene gestures at passing cars. The individual has not eaten or slept for 3 days. What features of mania are evident?
a. Poor judgement and hyperactivity
8. A pt dx w/ bipolar disorder has rapid cycles. The HCP prescribes an anticonvulsant. To prepare teaching materials, which drugs should the nurse anticipate will be prescribed?
a. Tegretol (carbamazepine)
9. A nurse is planning activities for a pt who has bipolar disorder w/ aggressive social behavior. Which activity would be most appropriate for this pt?
a. Shooting baskets
10. A manic pt announces to everyone in the dayroom that a stripper is coming to perform this evening. When the nurse firmly states that this will not happen, the manic pt becomes verbally abusive and threatens the nurse w/ physical violence. The most appropriate action by the nurse would be:
a. With assistance, escort the manic pt to his/her room and offer Haldol
11. A female pt is under evaluation for imminent suicide risk. Which information given by her would be most significant?
a. Reference to suicide as the best solution
12. A pt experiencing acute mania has disrobed in the hall 3 times in 2 hrs. The nurse should:
a. Arrange for one-on-one supervision
13. A pt experiencing acute mania is dancing atop the pool table in the rec room. The pt waves a cue in one hand and says, “I’ll throw the pool balls if anyone comes near me!” The nurse’s first intervention is to:
a. Clear the room of all other pts
14. Mood congruent psychotic features in depressed pts may include all but:
a. Delusion of grandeur
i. Does include: nihilistic (life is meaningless belief) delusions, delusions of guilt, delusions of poverty
15. Which is the most severe form of Bipolar Disorder?
a. Bipolar Disorder Type I
16. Which nursing response demonstrates accurate information that should be discussed w/ a female pt diagnosed with bipolar disorder w/ her support system.
a. “Remember that alcohol and caffeine can trigger a relapse of your symptoms”
b. “It’s critical to let your HCP know immediately if you aren’t sleeping well”
c. “Is your family prepared to be actively involved in helping manage this disorder?”
d. “Bc symptoms tend to come and go, you need to be able to recognize the early signs”
17. Which statement by a pt demonstrates an understanding of the effective use of Lithium to manage bipolar mania?
a. “I have to keep reminding myself to consistently drink six 12-oz glasses of fluid every day”
b. “I discussed w/ my psychiatric care provider the diuretic my cardiologist prescribed”
c. “I’ve already made arrangements for my monthly lab work”
18. Substance abuse is often present in ppl dx w/ bipolar disorder. A 28-yr-old female w/ a dx of bipolar disorder drinks alcohol instead of taking her prescribed medications. A nurse caring for this pt would recognize that:
a. Alcohol ingestion is a form of self-medication
19. A 33-yr-old female dx w/ bipolar type I has been functioning well on Lithium for 11 months. At her last checkup the psychiatric NP states, “You’re ready now to enter maintenance therapy stage, so at this time i’m going to adjust your dosage by prescribing”:
a. A lower dose [Show Less]