NUR 162 TEST 4
- Priority nursing intervention for a patient brought into the ER in a manic episode
Answer Risk for injury r/t hyperactivity
- Intervention to promote adequate nutritional intake for bipolar patient in a manic episode
Answer Provide high-calorie, nutritious finger foods and snacks that the patient can eat on the run
- Therapeutic range for lithium for acute mania
Answer 1.0-1.5 mEq/L
- Medications used to treat Bipolar Disorder
Answer Lithium Olanzepine (Zyprexa)
Carbamazepine (Tegretol) Gapapentin (Neurontin)
- Type of delusion a patient is demonstrating when she says, "My sister is jealous of me! She
is trying to make me look like I'm insane!"
Answer Delusion of persecution
- Common comorbid condition in children with bipolar disorder
Answer ADHD
- Signs & Symptoms of Lithium Toxicity 1 / 3
Answer Tinnitus Severe Diarrhea
Ataxia
- Appropriate intervention when a manic patient walks out of room dressed in a provocative,
inappropriate outfit
Answer Quietly walk patient back to room and help her change into something more appropriate
- Prioritizing diagnoses for a patient experiencing a manic episode
- Risk for injury r/t manic hyperactivity
Answer
- Imbalanced nutrition
Answer less than body requirements evidenced by loss of body weight & poor skin turgor
- Disturbed sleep pattern evidenced by sleeping only 4-5 hours per night
- Impaired social interaction evidenced by manipulation of others
- How to treat a child with bipolar disorder and ADHD
Answer Bipolar condition should be stabilized before medication for ADHD is given
- Characteristic behavior of agoraphobia
Answer Staying inside the homee for fear of being in a place from which the patient cannot escape
- Implosion therapy for patient with phobic anxiety 2 / 3
Answer Patient is presented with massive exposure to a variety of stimuli associated with the phobic object or situation
- Most likely reason for a patient with OCD to spend many hours each day handwashing
Answer To relieve anxiety
- Initial care plan for a patient with OCD who handwashes obsessively
Answer Struc- ture the patient's schedule so she has plenty of time for handwashing
- Appropriate therapy for a patient with agoraphobia
Answer Facing fear in gradual step progression
- Appropriate nursing intervention for a patient with OCD who is no longer uncomfortable
on the unit or anxious around the staff and other patients
Answer Set limits on the amount of time the patient may engage in a ritualistic behavior
- Treatment for hair-pulling disorder
Answer Awareness training
Competing response training Social support
- Medication to treat Body Dysmorphic Disorder
Answer Fluoxetine (Prozac)
- Priority nursing intervention for a patient who has just arrived at the emergency
- / 3
department having a panic attack