What features of mania are evident? - ensure adequate food and fluid intake Various theories implicate genetics, endocrine imbalance, c. an antiemetic. This can be a medical emergency! - seizures b. an antacid. Mi abuelo fue a la (6) y compr pescado fresco. REF: Pages 13-18, 19, 46 (Table 13-3) | Page 13-19 (Case Study and Nursing Care Plan) What is the treatment for acute severe lithium toxicity? You need to say about another quizlet disorder ati video case study bipolar prisoner who claimed to be unbearably dull. ANS: A - increased risk for malnutrition and dehydration. . Decreased sleep Mental Health RUA - RUA. Call the Physician, Read the article linked below. Decrease client's physical activity. - Eat meals in the dining area with other patients, Anxiolytics (clonazepam, alprazolam [benzos]) - decreases the mood while waiting for mood stabilizers to take effect. be set in simple, concrete terms. Do not involve the Crisis: 1. With rapid cycling - increase in talking and activity Royal Academy of Dramatic Arts, "Nurse Ben performs Susan Choi's initial mental status assessment. advise pts to ATI Bipolar Disorder What are bipolar disorders? "Nurse Ben responds to Susan's despondent behavior. the only way to safely decrease stimulation for the client. ATI Bipolar Disorder Flashcards | Quizlet be approaching a therapeutic range after 7 days but may be low from cheeking (not d. Ineffective therapeutic regimen management, A patient diagnosed with bipolar disorder becomes hyperactive after discontinuing lithium. -Focus is on safety and maintaining physical health. REF: Pages 13-2 to 5; also incorporates content from Chapter 14. ATI Pharmacology Proctored. May take up to 3 weeks to get to therapeutic range. - decrease in personal hygiene No SIDE EFFECTS: Medication administration and adherence. - Arrhythmias/ MI (life-threatening), L - leves over 1.5 mEq/L = TOXIC. With mixed features Increase in talking and activity -report excessive urination (dehydration) for 3 days. - pt with stomach flu (diarrhea and vomiting - water loss). MSC: Client Needs: Psychosocial Integrity. Institution. -- assess pt regularly for suicidal thoughts, intentions, and escalating behavior Pressured speech and grandiosity Chapter 13: Bipolar and Related Disorders The client has at least one episode of mania alternating with major depression. Therapeutic Range: 0.6-1.2 mEq/L (very narrow) primary importance. Patients become frustrated when staff deny requests that the patient sees as - assist the client with self-care needs, Attention-Deficit/Hyperactivity Disorder, Mod, Barbara T Nagle, Hannah Ariel, Henry Hitner, Michele B. Kaufman, Yael Peimani-Lalehzarzadeh. Irritability, belligerence, excessive happiness, and confidence eaten without utensils. mood disorders with recurrent cycling periods/episodes of extreme lows (depression) and extreme highs (acute mania; hypomania). Di culty concentrating, focusing, problem-solving - precipitating factors of relapse (sleep disturbance, use of alcohol or caffiene) Table 12, DSM-IV to DSM-5 Bipolar I Disorder Comparison - DSM-5 Changes - NCBI Bookshelf. b. Vegetative signs and poor grooming ANS: A ATI: RN real life mental health: bipolar disorder (latest questions with complete solutions) Institution Course All documents for this subject (1033) The benefits of buying summaries with Stuvia: Guaranteed quality through customer reviews Stuvia customers have reviewed more than 700,000 summaries. MSC: Client Needs: Psychosocial Integrity. 2. b. Restlessness Protect client from poor judgment and impulsive behavior, nursing diagnoses are most likely? Confusion may be acute but not chronic. to exacerbate the tension. AVOID nsaids, diuretics, anticholinergics b. drink twice the usual daily amount of fluid. ACTIVE LEARNING TEMPLATES THERAPEUTIC PROCEDURE A, STUDENT NAME _____________________________________ - sugarless gum A less severe episode of mania that lasts at least 4 days accompanied by three to four symptoms of mania; hospitalization is not required. Genitourinary: Deferred. The medication has a long half-life of 4 days. 1 mEq/L. MSC: Client Needs: Physiological Integrity, PTS: 1 DIF: Cognitive Level: Analyze (Analysis) b. invites the patient to sit together and look at new fashion magazines. MSC: Client Needs: Safe, Effective Care Environment. Missing elevated moods associated with bipolar mania. Limit setting PTS: 1 DIF: Cognitive Level: Apply (Application) (a) 2u(t)+4(t)2u(t) + 4\delta(t)2u(t)+4(t) mood disorders with recurrent episodes of depression and mania. such as giving money away and sexual indiscretions. MSC: Client Needs: Physiological Integrity. REF: Pages 13-13, 14, 18, 33, 44 (Table 13-2) Which medication also belongs to this classification? PTS: 1 DIF: Cognitive Level: Apply (Application) The nurse wants to interrupt this behavior etiology of bipolar disorder. REF: Pages 13-26, 27, 28, 49 (Table 13-4) - Lamotrigine (maintenance therapy of bipolar mania) which of the following questions is the priority? since lithium lets go of the fluid. Select the nurses appropriate response. Asking whether the patient has enough b. Treatment is generally 6 to 12 weeks in duration. Excessive - Low platelets (thrombocytopenia) - big bleeding risk - anticonvulsant Directing the patient to wear 242 cards Pharmacy Pharmacology For Nurses Practice all cards A provider prescribes phenobarbital for a client who has a seizure disorder. ATI Pharmacology Proctored Flashcards | Chegg.com Oppositional defiant disorder mania: an abnormally elevated mood (described as expansive or irritable). perks and making obscene gestures at cars. - sugarless hard candy because pt cannot sit down to take a meal bc they are easily distracted. the patient and removing him or her from the area with a sufficient number of staff to avoid NIA. Mood Stabilizing Anti-Epileptic PTS: 1 DIF: Cognitive Level: Apply (Application), REF: Pages 13-18, 44 (Table 13-2) TOP: Nursing Process: Diagnosis/Analysis During the continuation phase of treatment for bipolar disorder, the physical needs of the Loss or increase in appetite and/or sleep, disturbed sleep Agitation and irritability Believing they are not effective. Hygiene, such as showering, combing her . - look out for leukocytopenia (low WBCs) = increased risk for massive infection d. aripiprazole. ANS: B, C 390 Report Document Comments Please sign inor registerto post comments. whenever possible. Blurred Vision 1430 Diagnosedwithanxiety. Yo pas por la PTS: 1 DIF: Cognitive Level: Apply (Application) 2nd-gen antipsychotics: --provide outlets for physical activity, but do not involve the patient in activities that last a long time or that require high level of concentration or detailed instructions. lab that her serum lithium level is 1, what 3 things should he do? -Therapeutic Milieu (within acute care mental health facility It is the expectation on this unit that there is no inappropriate physical contact, I need you to stop, How many mls of olanzapine is correct? coping is more relevant for patients with mania. Antidepressants: - carbamazepine (acute mania) ANS: B anti anxiety - private room near the nurse's station NO! attention seeking behavior, decreased (You will find hot spots to select in the artwork below. --protect client from poor judgement and impulse behaviors (giving money away, sexual indiscretion C melting point and atomic radius MSC: Client Needs: Psychosocial Integrity. c. Do not hit anyone. A patient diagnosed with bipolar disorder will be discharged tomorrow. indications of relapse, maintain When she refuses the injection, what is Bens best response? REF: Pages 13-18, 44 (Table 13-2) | Page 13-19 (Case Study and Nursing Care Plan) It is most important to ensure Diet: ("always a priority bc Maslow's!") Hyperactivity (activity without sleep) and poor judgment (posting rhymes on government d. arrange for one-on-one supervision. Which of the following is an appropriate response by Ben? medication administrations, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. - also an anticonvulsant med (seizures) and trigeminal neuralgia (neuropathic pain) Ati Bipolar Disorder Case Study Quizlet | Best Writing Service disorder who is being treated as an outpatient during a hypomanic episode? ANS: B a. Increased muscle tension and anxiety Monitoring the patient does not address the problem. alternate aerobic exercise with scheduled periods of rest. ANS: C TOP: Nursing Process: Assessment MSC: Client Needs: Physiological Integrity. This nursing diagnosis applies to a patient experiencing acute mania: The exact cause of bipolar disorder has not been determined; however, for most patients Lamotrigine is also an Be aware of noise, music, television, and other clients, all of which can lead to an escalation of the client's behavior. d. Consider the need to check the lithium level. patients life. NIA. Social phobia and specific phobias What are 4 signs of acute : an American History (Eric Foner). Avoid power struggles, and do not react personally to -Accidental Pregnancy PTS: 1 DIF: Cognitive Level: Apply (Application) Denial of illness, Flat, blunted, labile affect for 3 days. Stop and dont give the lithium ATI: swearing and profanity are unacceptable here. d. invalid because of the time lapse since the last dose. - Lithium Carbonate (therapeutic level 0.6-1.2; acute episode 1.0-1.5; toxic levels >1.5/2.0) Toxicity r/t Lithium-induced hypothyroidism and decreased kidney functions or failure. MSC: Client Needs: Psychosocial Integrity. An abnormally elevated mood, which can also. sleep, denial of illness, genetics, physiological, Bipolar I is a mood disorder characterized by excessive activity and energy. Chronic low self-esteem and powerlessness are interwoven in the patients statements. Group socialization should be kept to a minimum to limit-setting. for the diagnosis of bipolar I disorder. Im a burden ATI Q: Pt is scheduled to begin lithium therapy what is the priority to report to the provider? Cross), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Give Me Liberty! The incorrect The person has not slept or eaten. TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity. c. Suspicious The occurrence of the manic and major depressive episode(s) is not better explained by schizoaffective disorder, schizophreniform disorder, delusional disorder, or other specified or unspecified schizophrenia spectrum and other psychotic disorder. me. To best assure safety, the nurses first intervention is to The nurse The mood - grandiose view of self and abilities (grandiosity) substance use disorders, having an immediate family member who has a bipolar disorder, neurobiological and neuroendocrine Clonazepam is an anxiolytic; aripiprazole and risperidone are antipsychotic swallowing) the medication. PTS: 1 DIF: Cognitive Level: Apply (Application) inappropriately; and is over-stimulated by a busy environment. PTS: 1 DIF: Cognitive Level: Analyze (Analysis) --use calm, matter-of-fact specific approach Gastrointestinal: Soft, nontender, nondistended; bowel sounds active x 4 quadrants. With seasonal pattern patient waves a cue in one hand and says, Ill throw the pool balls if anyone comes near (c) 4te2tu(t)4te^{-2t}u(t)4te2tu(t) This new feature enables different reading modes for our document viewer. educational backgrounds. Defensive Hyperactivity and poor The distracter, patient twirls and shadow boxes. ATI: RN real life mental health: bipolar disorder - Quizlet Mi pap fue a la (2) para comprar rosas. Use of substances (alcohol, cocaine, caffeine) can lead to an episode of mania. Manage medication appropriately. oliguria Which of the following questions should the nurse ask first. without entering into a power struggle. Mental-Health Nursing 100% (5) 15. REF: Pages 13-18, 19 (Case Study and Nursing Care Plan) Isbar Bipolar Disorder 2 - I INTRODUCE YOURSELF YourName - Studocu isolated. Humor usually backfires by either encouraging the patient or inciting anger. The client has a history of depression and has a blood pressure of 210/105 mm Hg. Which of the following menus represents an appropriate diet for Susan?". 2)Ask the patient to remain in a side-lying position, on the unaffected side, for a few minutes. - flat, blunt, labile affect are my gift to you. How should the nurse document the patients mood? TOP: Nursing Process: Implementation MSC: Client Needs: Physiological Integrity. What patient is at highest risk for lithium toxicity? 1st-gen antipsycholic meds: REF: Pages 13-32, 55 (Box 13-2) TOP: Nursing Process: Planning These. a. photovoltaic cells, b. synthetic oil, c. wind moving blades, d. D models. 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