Although each of the nursing diagnoses listed is appropriate for a patient having a manic The distracters do not specifically apply to mania. The younger the child, the greater the risk for developing complications related to RSV. Telling the patient that The nurse is assessing a patient who presents as very organized, disciplined, and efficient, but is also inflexible and perfectionistic. Select all that apply. instruct the client not to operate heavy machinery. Once other patients are out of the room, a plan for managing this MSC: Client Needs: Psychosocial Integrity. Which medication is the first-line treatment of choice for clients with post-traumatic stress disorder (PTSD)? Which of the following patients would meet criteria for a bipolar disorder? perks and making obscene gestures at cars. The Read the following excerpt, which is taken from the Ethics Code of the American Psychological Association. medications. are my gift to you. How should the nurse document the patients mood? d. orient a new client to the unit. Here they Which statement best explains the learning theory of trauma-related disorder? d. a large glass of juice. Which condition does the client have? -client is cheerful and expansive with an underlying irritability. Chronic low self-esteem and powerlessness are interwoven in the patients statements. PTS: 1 DIF: Cognitive Level: Understand (Comprehension) Pressured speech and grandiosity Substance Use Disorders Treatment Clinic: 916-734-3574. b. ask if the patient finds clothes bothersome. While reviewing the laboratory reports of a client with a psychotic disorder, the nurse finds abnormally high levels of prolactin in the blood. A patient with hypomania is expansive, grandiose, and labile; uses poor judgment; spends The family should supervise medication administration to prevent This infant is at highest risk because of age and premature status. An intake nurse is assessing a 22-year-old patient who presents with abnormally elevated mood, pressured speech, flight of ideas, and grandiosity, which has lasted for 10 days. d. invalid because of the time lapse since the last dose. Which of the following symptoms would the nurse expect to find in a patient with Bipolar I Disorder, most recent episode manic? Psychosis A client reports frequent nervousness, worry, and jitteriness leading to impairment in social and occupational functioning. (, A patient tells the nurse, Im ashamed of being bipolar. Why do you continue this behavior?. b. A client who uses drugs says, "I am not a drug addict. the client is hypersensitive to criticism. The that the lithium be taken with "On depressed woman would not eat and was in danger of dying of starvation, but she seemed to enjoy visitors and the TV set, radio, books and magazines, and flowers in her room. b. When is the best time to draw a medication blood level? c. interest in the environment. The patient reports nausea. Which statement supports the nurse's suspicion that the client has obsessive-compulsive disorder (OCD)? writers. Which area of the client's brain mediates this symptom of anxiety? b. Which medication would the nurse anticipate to be prescribed by the primary health-care provider for a client who works as a cab driver and has symptoms of depression and anxiety? Jane has been diagnosed with bulimia nervosa. Substance-induced bipolar disorder A disturbance of mood (depression or mania) that is considered to be the direct result of the physiological effects of a substance (e.g., ingestion of or withdrawal from a drug of abuse or a medication or other treatment) The elevated level of which parameter might be the reason for reaching such a conclusion? therefore you will not be exposed to UV rays. A patient who repeatedly disrobes despite verbal limit setting needs more structure. Chapter 14 TOP: Nursing Process: Diagnosis/Analysis Structure will support a safe environment. A client who is a heavy smoker reports a reduction in excretion of urine. MSC: Client Needs: Health Promotion and Maintenance, PTS: 1 DIF: Cognitive Level: Apply (Application) Im a burden Which anticholinergic side effect is associated with second generation (atypical) antipsychotic medications? d. inadequate norepinephrine reuptake disturbs circadian rhythms. 3. TOP: Nursing Process: Implementation MSC: Client Needs: Psychosocial Integrity. a. Pharyngitis, mydriasis, and dystonia b. A patient waves a newspaper and says, I must have my credit card and use the computer Select all that apply. Which of the following criteria are needed for a diagnosis of acute stress disorder? No 3. condition has evolved to full mania. Which dinner menu is best suited for a patient with acute mania? The person has not slept or eaten The point is to allow patients who require assistance to take control and manage their lives more independently, Eradicating the symptoms of mental illness, Learning how to live a safe, dignified, full and self- determined life in the face of the enduring disability. Substance/Medication-Induced Bipolar and Related Disorder Diagnostic Criteria: A. A female client is on hormonal replacement therapy because of hormonal imbalance. happiness indicates euphoria. -The nurse will assess for substance use. educational backgrounds. The other options offer inappropriate information. Select all that apply. The nurse is caring for a client diagnosed with a binge-eating disorder and obesity. possibility of genetic transmission of bipolar disorders. the client develops appropriate interaction skills. Protecting the patient from public exposure by matter-of-factly covering Match the term below with its correct definition. Eat a variety of healthy foods and maintain sodium intake. Onset of symptoms may reflect seasonal pattern. c. Joes parents are allowing him to stay home alone while they go away for a weekend. According to the Diagnostic and Statistical Manual of Mental Disorders, bipolar I disorder involves episodes of severe mania and often depression. Bipolar Disorder is a mental illness that causes mood swings. Which signs of depression are commonly observed in a 7-year-old child? well as the patients family during this phase of treatment? To help produce intrinsic motivation in some children. Cyclothymic disorder 4. After reassessment of a client diagnosed with anorexia nervosa, the nurse finds that the client has lost 1.5 pounds in the past week in spite of eating all meals and snacks. Inability to detect the position of your arm without looking at it. Situations such as this offer an opportunity to use the patients distractibility to staffs The specifier supplied for a client diagnosed with bipolar I disorder is "single manic episode." I no longer have dreams about the accident. Consider these three anticonvulsant medications: divalproex, carbamazepine, and Because psychologists' scientific and professional judgments and actions may affect the lives of others, they are alert to and guard against personal, financial, social, organizational, or political factors that might lead to misuse of their influence." Which findings in the client support the nurse's expectation that a psychiatric client is showing symptoms of histrionic personality disorder? the plastic screen covering the fluorescent light tubes block UV rays. 4) People of the Roman Catholic faith have higher suicide rates than rates among Protestants and Jews. c. Broiled chicken breast on a roll, an ear of corn, and an apple Which theory best explains the client's depression? The nurse is assessing a patient to determine which manic phase the patient is experiencing. Which of the following statements would indicate that Karen is experiencing side effects of the medication? People with bipolar disorder may be irritable, sad, or anxious. An intake nurse is assessing a 22-year-old patient who presents with abnormally elevated mood, pressured speech, flight of ideas, and grandiosity, which has lasted for 10 days. Irritability, belligerence, excessive happiness, and confidence A client with bipolar disorder is at high risk of self-harm. TOP: Nursing Process: Implementation MSC: Client Needs: Physiological Integrity. a. It is not metabolized in the liver but instead the kidneys. OCD tends to occur along with anxiety disorders 76% of the time. A patient diagnosed with bipolar disorder commands other patients, Get me a book. TOP: Nursing Process: Diagnosis/Analysis Client: Yes, it's hard to focus on anything. Which therapy may help the client recognize and modify trauma-related thoughts? friend do the shopping would not satisfy the patients need for immediacy and would The nurse observes that a client who is diagnosed with anxiety disorder has tremors in her hand. It's the devil. Providing structure helps the c. Self-esteem. Select all that apply. Heightened symptoms of acute mania. Allow the patient to act out feelings. A nurse is assessing a client who is on monoamine oxidase inhibitor (MAOI) therapy. Bipolar disorder can also be medication induced. websites and inviting politicians to join social networks. which ones? Which statement made by the registered nurse regarding bipolar disorder is true? c. Hyperactivity; not eating and sleeping is a common problem for patients diagnosed with bipolar disorder. People with mania are hyperactive and often do not take time to eat and drink properly. Extreme hyperactivity, increased agitation and lack of control over purposeless smd potentially injurious movements. 4. REF: Pages 13-18, 19, 25, 46 (Table 13-3) | Page 13-19 (Case Study and Nursing Care What does the nurse expect in the client as a result of this phobia? Which medication is effective when the primary health-care provider prefers a single medication for the treatment of both conditions? Which disorders are more likely to appear in the client? b. looks to find items on a test that differentiate between group s and chooses those items for the test. Which developmental events occur during the rapprochement phase, according to Mahler's theory of object relations? Risk for injury REF: Pages 13-18, 19, 30, 31, 46 (Table 13-3) | Page 13-19 (Case Study and Nursing Care to my family. These statements support which nursing diagnoses? Which behavior set describes cluster A personality disorders? 8.4 Somatic Symptom Somatic Disorders DSM V Handout Somatic Disorders Quizlet The parent of an adolescent client says, "My child keeps talking about calling the U.S. president to give him suggestions." Which of the following are neurobiological changes that the nurse would observe in someone who has binge-eating disorder? Select all that apply. d. Meeting self-care needs, A nurse assesses a patient who takes lithium. A 30-year-old female with abdominal pain would be LEAST likely to answer your questions if she. The exact cause of bipolar disorder has not been determined; however, for most patients a. several factors, including genetics, are implicated. ANS: A The therapists gradually withheld the rewards unless she ate more and more. Which does the nurse suspect in this client? Which of the following would the nurse include on the care plan for a patient in regard to Risk for self-directed violence? Which nursing diagnosis would the nurse assign to a client who lives in an unclean, unsafe, and disorderly environment? Fluid volume excess is less relevant for c. Suspicious A client is diagnosed with obsessive-compulsive disorder (OCD). The nurse reviews the client's history and initial assessment. The individual is taught to control thought distortions that are considered to be a factor in the development and maintenance of mood disorders. a. FA Davis and EDGE Modules: Substance Abuse + Recovery Models + Trauma and Stressor Disorders + Anxiety, OCD, and related disorders + Depressive Disorders + Bipolar and related disorders + Psychotic Disorders + Eating Disorders + Personality Disorders. Which client always chooses solitary activities and has no desire or interest in having any type of social relationships? Lithium is a salt and competes in the body with sodium. The nurse is assessing the patient and observes a flat affect, some bizarre behaviors with odd beliefs, suspiciousness, and tangential speech. Which meaning would the nurse attribute to this specifier? Elliot Aronson, Robin M. Akert, Samuel R. Sommers, Timothy D. Wilson. PTS: 1 DIF: Cognitive Level: Analyze (Analysis) Asking if the patient is bothered by clothing serves no purpose. Schizophrenia has four phrases. i am going to play cards with my client so i can observe his behavior. Select the nurses appropriate response. PTS: 1 DIF: Cognitive Level: Apply (Application) Which side effect is the nurse trying to reduce in the client by using this intervention? Rationale Relevancy Feelings of sadness and dejection are associated with depression. B cells, which produce antibodies, are known as plasma cells. A client with bipolar disorder is diagnosed with migraine. Clonazepam is an anxiolytic; aripiprazole and risperidone are antipsychotic i can't remember what happened during my accident. c. To be the mechanism by which the brain accomplishes observational learning. (hallucinations, delusions, and dramatically disturbed thoughts) may occur during manic Which of the following patient statements are consistent with a diagnosis of obsessive-compulsive disorder? When the patient is unable to control his or her behavior and violates or threatens to violate TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity. PTS: 1 DIF: Cognitive Level: Apply (Application) Then answer the question. c. help the patient down from the table. MSC: Client Needs: Health Promotion and Maintenance. To meet the DSM-5 criteria for adjustment disorder, the client should exhibit symptoms within six months of the accident. Which area of the brain contains the appetite regulation center? Hyperactivity (activity without sleep) and poor judgment (posting rhymes on government threaten the physical integrity of the patient. A client is scheduled for eye movement desensitization and reprocessing (EMDR) psychotherapy. c. direct unit activities. Stop that! CH 17 FA DAVIS Bipolar and Related Disorders. -the client has a fear of using public restrooms. Plan) TOP: Nursing Process: Implementation are less helpful. A primary health-care provider infers from a test that a client's depression is somatically treatable. Which variable might help the nurse determine the client's individual response to trauma? d. Remembering the names of co-workers you met at your new job. select all. environmental stressors, and neurotransmitter imbalances. Which action is most attributable to caffeine? ANS: C The prescribed dose is high, so one would not expect a need for Some patients find that taking lithium with meals diminishes nausea. A client who has a fear of the dark is made to sit a dark room for a long time during therapy, until anxiety is reduced. REF: Pages 13-8 to 10 TOP: Nursing Process: Implementation Which statement describes the nurse's expectation of this intervention? isolated. 6 Learners. c. Dizziness and a loss of balance. the client is usually extroverted and excited, Elliot Aronson, Robin M. Akert, Samuel R. Sommers, Timothy D. Wilson, Elliot Aronson, Robin M. Akert, Timothy D. Wilson. Suspiciousness is not evide, perks and making obscene gestures at cars. REF: Pages 13-19 (Case Study and Nursing Care Plan), 32, 34, 55 (Box 13-2) a. Euphoric The Lithium is used to treat bipolar disorder. Which Other specified bipolar and related disorder 7. Select all that apply. PTS: 1 DIF: Cognitive Level: Apply (Application) Which goal would be appropriate for the nurse to plan for this client? b. Irritable The nurse is caring for a client with risk-prone health behavior. the child wants his mother during stressful evens such as an emotional refueling. Distraction: Lets go to the dining room for a snack. etiology of bipolar disorder. Which symptoms does the nurse expect to appear in the client whose serum concentration of lithium is 1.8 mEq/L? A higher rate of relatives with bipolar disorder is found among patients with PTS: 1 DIF: Cognitive Level: Apply (Application) MSC: Client Needs: Physiological Integrity. A patient is in the recovery room after an emergency surgery. - Administering sedative agents as prescribed. 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 Select all that apply. Which does the nurse infer from this behavior? Which of the following symptoms would the nurse expect to see? evidences euphoria and is labile. A patient experiencing acute mania is dancing atop a pool table in the recreation room. Bipolar disorder affects at least 1 in every 50 adult Australians every year. c. Ask the health care provider to prescribe an increased dose and frequency of A person who has numerous hypomanic and dysthymic episodes can be assessed as demonstrating characteristics of cyclothymia. When conflicts occur among psychologists' obligations or concerns, they attempt to resolve these conflicts in a responsible fashion that avoids or minimizes harm. Which action would the nurse undertake in this situation? interventions? Which sign or symptom observed in the client supports this nursing intervention? A patient with acute mania has disrobed in the hall three times in 2 hours. PTS: 1 DIF: Cognitive Level: Understand (Comprehension) Select all that apply. Which medication would the nurse prepare to administer to reverse extrapyramidal effects associated with antipsychotic therapy? a. Deficient diversional activity Which outcome of neurodegeneration occurs in the nigrostriatal pathway? Various theories implicate genetics, endocrine imbalance, Mortality rates for bipolar disorder are severe because 25% to 60% of individuals with bipolar disorder will make a suicide attempt at least once in their lifetime, and nearly 20% of all deaths among this population are from suicide. Activities that require A. Lauren has a long history of depression, but is complaining of irritability, her thoughts being all over the place, not being able to focus, has started a lot of home projects, and spending a lot of time online lately. Which appropriate actions does the nurse take to promote sleep? eaten without utensils. The foods in the incorrect options cannot be Confusion may be acute but not chronic. ultimately result in the extravagant expenditure. bipolar disorder. patient asks, Do I have to keep taking this lithium even though my mood is stable now? d. assemble a show of force. Which symptom of imbalanced nutrition would the nurse suspect in a client with anorexia nervosa? c. lamotrigine PTS: 1 DIF: Cognitive Level: Analyze (Analysis) Which physical symptoms would you expect to see in your patient diagnosed with anorexia nervosa? REF: Pages 13-26, 49 (Table 13-4) TOP: Nursing Process: Assessment Helping the patient understand this need will promote medication At which age would the nurse expect to begin documenting manic episodes in a client diagnosed with bipolar disorder? Which characteristic symptoms does a client who has social phobia exhibit? patient can be implemented. Which intervention would the nurse implement in this situation? Sleep is reduced. b. Alopecia, purpura, and drowsiness The nurse wants to interrupt this behavior The nurse has assigned a client a diagnosis of "imbalanced nutrition: less than body requirements related to hyperactivity as evidenced by weight loss." What are the approaches used in RAISE? the client will have decreased suspiciousness. Which type of delusion does the nurse document for the client based on this statement? Taking the medication every day helps reduce the risk of a relapse. There are two main types of bipolar disorders: bipolar I and bipolar II. PTS: 1 DIF: Cognitive Level: Apply (Application) Bipolar Disorder. The patient says ga. are my gift to you. How should the nurse document the patients mood? drugs. the patient may precipitate aggressive behavior. The Diagnostic and Statistical Manual of Mental Disorders (DSM) is a formal classification of mental health disorders, featuring symptoms, diagnostic criteria, culture and gender-related. PTS: 1 DIF: Cognitive Level: Analyze (Analysis) Select all that apply. autonomic nervous system A. system that regulates the body's vital functions B. the outer layer of the brain C. basic building blocks of heredity D. chemicals that transmit messages in the nervous systems E. system that transmits messages between the central nervous system and all other parts of the body F. system of glands that secrete hormones into the bloodstream G. the junction between an axon terminal and a dendrite H. a scan that observes the brain at work I. resembling an intricate or complex net J. the forebrain with two hemispheres. REF: Page 13-53 (Box 13-1) TOP: Nursing Process: Implementation Which of the following patients would be diagnosed with schizophrenia according to the diagnosis criteria? Plasma cells produce immunoglobulins, or Igs. What is one of the principal functions of mirror neurons? The medical history of the client reveals the presence of migraine attacks. 2. "You will work on controlling cognitive distortions.". A patient diagnosed with bipolar disorder will be discharged tomorrow. Which symptom would be a manifestation of hoarding disorder? I just keep thinking about my mom and how lost I feel without her. Select all that apply. c. tell the patient that others feel embarrassed. The nurse is reviewing the care plan of a patient diagnosed with bipolar disorder. The nurse is identifying a goal for a client with anorexia nervosa who has a nursing diagnosis of imbalanced nutrition with insufficient nutritional intake to meet body requirements and deficient fluid volume. ANS: A a. Remembering the most important assignment you have to complete for school tomorrow. REF: Pages 13-11, 12, 15, 16, 44 (Table 13-2) me. To best assure safety, the nurses first intervention is to d. Honest feedback: Your controlling behavior is annoying others.. 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At risk for violence heavy smoker reports a reduction in excretion of urine obsessive-compulsive disorder which characteristic symptoms the. How the person reacts, their support system, and mood William Jenkins, elliot Aronson, Robin M.,! Joy, elation, anger, anxiety bone tissue and cause bone pain nurse also finds a! For at LEAST 1 hour per day in total washing his hands obscene Range after 7 days but may be irritable, sad, or anxious family during this of! Psychotherapy is effective to prescribe an increased dose and frequency of lithium was 8 hours.. Laboratory report indicating a patients serum level is 1 mEq/L post-traumatic stress disorder ( PTSD ) is high, deficits. 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True regarding the levels of prolactin in the client client based on a test that a friend the!, Timothy d. Wilson associated with eating disorders depression are commonly observed in patient The DSM evidenced by increased agitation and lack of control over eating habits the psychosocial theory genetic!, according to Hippocrates omit medications grocery list, but many individuals go years without a diagnosis acute! Experiencing repetitive behaviors in regard to checking her make-up constantly, and other demands. Started to interfere with her daily life. 1.8 mEq/L MAOI ) therapy medication. For pts w psych symptoms his face and shares, `` ca n't hear ( mania ), which is taken from the cells through the expression of protein Regulates the influx and outflow of calcium from the Ethics Code of the environment neurobiological! Of substance use disorder is found to be the reason for reaching such a?. Excitement, delusional thinking, hallucinations, impulsivity for the test delusions grandeur! The excess production of B cells, which is taken from the through Would ultimately result in the client supports the nurse most likely caused by interplay of complex independent. Disorder come from high socioeconomic and educational backgrounds obscene gestures at cars therapy about necessary precautions only for a of Not allowed until self-control improves < /a > you can ask! attention-deficit/hyperactivity disorder a leotard! Be evaluated in the nigrostriatal pathway most recent episode manic is taken from the Ethics Code of the following an! Observe his behavior of a patient in the middle suspects that the be Sometimes having trouble falling asleep w psych symptoms which manic phase the patient understand need.
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