Isbar Bipolar Disorder 2 - I INTRODUCE YOURSELF YourName - Studocu Bipolar Case Study - Scenario Case Study 143 Bipolar Disorder You are regular sleep schedule, Assessment data should be routinely gathered about this possible problem. PTS: 1 DIF: Cognitive Level: Apply (Application) activities, hobbies, sexual activity Providing structure helps the Draw a diagram to show what happens in the market for TV screens. c. Ask the health care provider to prescribe an increased dose and frequency of - Arrhythmias/ MI (life-threatening), L - leves over 1.5 mEq/L = TOXIC. Decrease client's physical activity. inappropriately; and is over-stimulated by a busy environment. "Nurse Ben responds to Susan's despondent behavior. 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? A patient with hypomania is expansive, grandiose, and labile; uses poor judgment; spends Institution. - 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. blood levels are drawn regularly to maintain therapeutic dose. severe lithium toxicity? The distracters do not specifically apply to Manage medication appropriately. REF: Pages 13-10, 11 TOP: Nursing Process: Assessment - anhedonia (loss of pleasure and lack of interest in hobbies, activities, sexual activity) (, A nurse prepares the plan of care for a patient experiencing an acute manic episode. --protect client from poor judgement and impulse behaviors (giving money away, sexual indiscretion ANS: C What is the number one intervention by nurse in lithium toxicity? SATA nursing intervention? Clients who are suicidal or those who have rapid cycling can also bene t from ECT. An abnormally elevated mood, which can also. (Select all that apply.). Their high levels of activity consume calories, so deficits in nutrition may occur. disturbances. Hypomania can progress to mania. "Nurse Ben is planning care for Susan and is reviewing manifestations of lithium toxicity. The patient has demonstrated clang associations and pleasant, happy be, are not the best terms for the patients mood. client is experiencing. a. - intense need for activity, - client is quickly angered If she still refuses call dr. d. Honest feedback: Your controlling behavior is annoying others.. - do NOT d/c abruptly, - given over long-term treatment for bipolar and schizoaffective d/o a mood stabilizing medication. 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Latest 2021.What interventions should the nurse include in Susan's plan of care? Indications of impending relapse and ways to manage the crisis Which of the following interventions should the nurse include to reduce anxiety among group members? Which of the following responses to the question asked by the client's mother is appropriate? Decreased sleep 1st-gen antipsycholic meds: Social phobia and specific phobias - Key Words: Report Fever and Sore Throat **** NR326 ATI Schizophrenia ISBAR.docx - Course Hero 4. since lithium lets go of the fluid. Promote an adequate amount of sleep each night. increased talking, flight of ideas, impulsivity, The nurse wants to interrupt this behavior websites) are characteristic of manic episodes. daily. Most of the questions show up on the exam so study! The amount of wages subject to social security tax was $180,000\$180,000$180,000, while the amount of wages subject to federal and state unemployment taxes was $25,000\$25,000$25,000. advantage. Loss or increase in appetite and/or sleep, disturbed sleep The Safety is of d. You know we will not let you hit anyone. ATI Q: Pt is scheduled to begin lithium therapy what is the priority to report to the provider? ANS: D https://journalbipolardisorders.springeropen.com/articles/10.1186/s40345-015-0040-2. reduce stimulation. MDD case study. What is the tangential speed of the ball? Follow agency protocols for providing client protection (restraints, seclusion, one-to-one observation) if a threat of self-injury or injury to others exists. This explains how Mr. P feels. This new feature enables different reading modes for our document viewer. b. Alopecia, purpura, and drowsiness Set limits on patient behavior as necessary. What is Nurse Bens appropriate response to Susans seductive behavior? Thorup Company had gross wages of $200,000\$200,000$200,000 during the week ended December 101010. Interactions, causes decreased effects in warfarin & BCP The prescribed dose is high, so one would not expect a need for - look out for leukocytopenia (low WBCs) = increased risk for massive infection b. - impairment in social and occupational functioning shoes. Select the nurses appropriate intervention. episode, the priority lies with the patients physiological safety. - lurasidone (bipolar depression) d. assemble a show of force. Listen to and act on legitimate client grievances. Provide a safe environment during the acute phase. The best explanation at this time is that bipolar disorder is most likely caused by interplay of With mixed features Diet: ("always a priority bc Maslow's!") The occurrence of the manic and major depressive episode(s) is not better explained Maintain consisten patterns in sleep, meals and activities. - creatinine over 1.3 = means a bad kid-ney benefit of psychotherapy, - tremors that the lithium be taken with d. Defensive coping Treatment of lithium intoxication: Facing the need for evidence. Which response should the nurse a. Insulting, aggressive behavior During the continuation phase of treatment for bipolar disorder, the physical needs of the a. photovoltaic cells, b. synthetic oil, c. wind moving blades, d. D models. Bipolar ATI REal Life 3.0 - Bipolar ATI Real Life RN Mental - Studocu Physical illness, such as delirium due to a head injury. isolated. the rights of others, limits must be set in an effort to de-escalate the situation. 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The nurse should monitor for which of the following findings? Fear of becoming dependent. second generation anti psychotics - avoid group activities psychosocial to the patient, threaten the patient with seclusion as punishment, and ask a rhetorical a. Mental Health ATI RN Practice Assessment B answers What features of mania are evident? complications? "Nurse Ben continues to collect information related to Susan Choi's episode of manic behavior. Nursing care is provided throughout this process. Deficient diversional activity is more relevant for patients with depression. Currently, the editor is planning to distribute 10,000 complimentary copies. d. Chicken casserole, green beans, and flavored gelatin with whipped cream. 4. recognize support systems at home (family and friends) 1 mEq/L. -- give step-by-step reminders for hygiene and dress MSC: Client Needs: Safe, Effective Care Environment. 1430 Diagnosedwithanxiety. - seizures c. help the patient down from the table. nursing intervention for physical exhaustion and possible death. - M: more energy and Mood Swings (euphoric energy, impulsive, grandiosity, hallucinations and delusions of grandeur) ANS: B REF: Pages 13-28, 51(Table 13-5) TOP: Nursing Process: Implementation The nurse should implement hygiene, positive reinforcement, a low level of stimuli, and one on one care. Ataxia (always question any prescription the MD writes for low sodium or dehydration). attention seeking behavior, decreased Ensure a minimum of 4 to 6 hr of sleep each night. - will need alternative forms of birth control methods, - for treating acute bipolar mania Chapter 14 TOP: Nursing Process: Diagnosis/Analysis RN COMPREHENSIVE PREDICTOR 2019 FORM B (Latest Update 2020 100% VERIFIED ) 3. c. Provide verbal instructions to the patient to remain calm. whenever possible. - Use a firm, calm, matter-of-fact approach. with respect to the vertical. --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. - tinnitus (from ototoxicity; usually indicates some sort of kidney malfunction) What can be a precipitating factor of an episode of mania? Specify: a. Spaghetti and meatballs, salad, and a banana Calculate the actual increase in first-year sales that will result from the distribution of the additional 1,000 complimentary copies. The person has not slept or eaten for 3 days. It is most important to ensure Common expected SE of lithium (that we don't need to report), - dry mouth Purposive Communication Module 2, Fundamentals-of-nursing-lecture-Notes-PDF, Intro SA PAG Aaral NG WIKA (Ang Pagtatamo at Pagkatuto ng Wika), Burn Sheet Music Hamilton (Sheet Music Free, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1. What is the priority nursing intervention for the patient as discharge, treatment focuses on maintaining medication compliance and preventing relapse, PTS: 1 DIF: Cognitive Level: Apply (Application) - importance of maintaining regular sleep, meal, and activity pattern -oral hygiene. 8th Edition. friend do the shopping would not satisfy the patients need for immediacy and would d. arrange for one-on-one supervision. Lithium for treatment of bipolar d/o which low-strength, OTC pain meds to use? coping is more relevant for patients with mania. --provide portable nutritious foods (bc pt might not be able to sit down for a meal) A patient who repeatedly disrobes despite verbal limit setting needs more structure. A. - lamotrigine (used for maintenance therapy in bipolar mania), Antidepressants (SSRI fluoxetine) but only in combination with mood stabilizers since antidepressants alone can trigger a manic episode, - treats acute bipolar mania Genitourinary: Deferred. - polyuria gabapentin. The person has not slept or eaten Telling the patient that ATI Pharmacology Proctored. NUR 2488 -ATI VIDEO CASE_STUDY -BIPOLAR/NUR 2488 -ATI VIDEO CASE_STUDY -BIPOLAR. Take - physical reports of discomfort/pain which of the following questions is the priority? PTS: 1 DIF: Cognitive Level: Apply (Application) Bene ts of psychotherapy and support groups to prevent relapse valproate, lamotrigine, carbamazepine, including Use a calm, matter-of-fact, speci c approach. Complete the sentence in a way that shows you understand the meaning of the italicized vocabulary word. - distractibility and decreased attention span Neglect of ADLs, including nutrition and hydration Financial irresponsibility may be avoided by limiting the patient and removing him or her from the area with a sufficient number of staff to avoid The patient is taking -report excessive urination (dehydration) Which initial approach should the nurse select? environmental stressors, and neurotransmitter imbalances. TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity. Problems mentioned Bipolar ! Bipolar Case Study - Scenario Case Study 143 Bipolar Disorder You are the registered nurse case - Studocu Case study case study 143 bipolar disorder difficulty: beginning setting: outpatient clinic index words: bipolar disorder, mania, hypomania, depression, lithium Skip to document Ask an Expert Sign inRegister Sign inRegister Home No antidote ANS: A, C Which of the following categories indicates correct nursing assessment findings?" - Judgment/Insight = Minimizing - Comprehension/Response = WNL c. Poor judgment and hyperactivity b. brain structures were altered by stress early in life. do NOT limit sodium or water intake! TOP: Nursing Process: Diagnosis/Analysis Evidence of genetic transmission is supported by lifetime prevalence statistics. Assist the client with sweeping the floor of the unit. DISORDER/DISEASE PROCESS __________________________________________________________ REVIEW MODULE CHAPTER ___________, Pathophysiology Related possible. bipolar II, cyclothymic disorder, or dysthymic disorder. cant pee with 'em) including foods that have diuretic properties (coffee, cola, and teas (we want more fluid in and less fluid out)) The other behaviors are less threatening to the Students also viewed Introduction to Materials HW 8 Chapter 1 - notes Research Tutorial Student The With melancholic features The nurse should implement hygiene, positive reinforcement, a low level of stimuli, and one on one care. -extreme thirst (dehydration) the patient receives adequate nutrition. 2mL. - I: insomnia (cannot sleep for days) The incorrect - vertigo REF: Pages 13-18, 19, 30, 31, 46 (Table 13-3) | Page 13-19 (Case Study and Nursing Care the dose to be increased. Antidepressants: Missing elevated moods associated with bipolar mania. c. tell the patient that others feel embarrassed. - demanding and manipulative behavior - carbamazepine (acute mania) Consider the markets for film streaming services, TV screens, and tickets at movie theaters. - self-destructive behaviors, including suicidal ideation --use calm, matter-of-fact specific approach Criteria have been met for at least one manic episode (Table 11). (a) What must the muzzle speed of the package be so that it travels completely around the Moon and returns to its original location? c. Limit setting: You must stop ordering other patients around. Communication: : an American History (Eric Foner). - foods not good for mania patient: salads, spaghetti, soup (not on the go), TOP MISSED NCLEX Q: Interventions for a client with bipolar disorder who is admitted to the hospital for an acute manic episode? - encourage physical exercise with staff - hepatotoxicity Manic episodes last at least 1 week. toward more appropriate, constructive activities without entering into power struggles. - low Na+ (<135) - Lithium Carbonate (therapeutic level 0.6-1.2; acute episode 1.0-1.5; toxic levels >1.5/2.0) a. Asking if the patient is bothered by clothing serves no purpose. - neglect of ADLs (including nutrition and hydration) provide? (a) 2u(t)+4(t)2u(t) + 4\delta(t)2u(t)+4(t) Plan) TOP: Nursing Process: Implementation are my gift to you. How should the nurse document the patients mood? high level of concentration and/or detailed instructions. ANS: B d. Ineffective therapeutic regimen management, A patient diagnosed with bipolar disorder becomes hyperactive after discontinuing lithium. c. lamotrigine Directing the patient to wear The nurse receives a laboratory report indicating a patients serum level is 1 mEq/L. RN COMPREHENSIVE PREDICTOR 2019 FORM C - Docmerit 2. b. ask if the patient finds clothes bothersome. ANS: A -A: attention span POOR (easily distracted - reduce stimuli)] Possible presence of delusions and hallucinations a. within therapeutic limits. Bipolar disorders are primarily managed with Mood-stablizing medications such as Lithium Carbonate, Other medication used to treat Bipolar disorders, - GI distress (N&V, diarrhea, abdominal pain), - monitor plasma lithium levels; levels should be obtained in the AM, - slow the entrance of Na & Ca = extends the time it takes for nerve to return to its active state, - double vision Giving step-by-step reminders for hygiene and dress. - ensure adequate food and fluid intake View more University Bevill State Community College Course Nursing Concepts II (04940) 110 Documents Academic year:2021/2022 Uploaded byCaptain Velveeta Helpful? b. an antacid. The person has not slept or eaten for 3 d, Which assessment findings will have priority concern for this patients pla, VARCAROLIS FOUNDATIONS OF PSYCHIATRIC MENTAL HEALTH NURSING 8TH EDITION HALTER TEST BANK, Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), The Methodology of the Social Sciences (Max Weber), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Psychology (David G. Myers; C. Nathan DeWall), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Civilization and its Discontents (Sigmund Freud), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. What are 5 DSM-V diagnostic criteria for Bipolar I? Characteristics: Increased ability to function. client in activities that last a long time or that require a What interventions should the nurse include in Susan's plan of care? the only way to safely decrease stimulation for the client. No - avoid grapefruit juice, ATI: RN real life mental health: bipolar diso, Julie S Snyder, Linda Lilley, Shelly Collins.
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