Questions and Answers Latest Version

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MH: EAQ: Bipolar and Related Disorders Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

Which patient behavior is most consistent with a manic episode?

• Speaking softly and avoiding eye contact
• Sitting quietly and reading a book

✔✔C. Talking rapidly, jumping between topics

• Sleeping for most of the day

Which lab value should the nurse monitor for a patient taking lithium?

• Serum potassium

✔✔B. Serum sodium and lithium levels

• Blood glucose
• Platelet count

Which statement by a patient with bipolar disorder indicates understanding of mania management?

• “I will avoid all social interactions.” 1 / 4

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✔✔B. “I will maintain a regular sleep schedule.”

• “I will stop medication when I feel better.”
• “I will increase caffeine to stay awake.”

Which action should the nurse take first for a patient exhibiting aggressive behavior during mania?

• Encourage a group discussion

✔✔B. Ensure personal and patient safety

• Provide detailed teaching about medications
• Offer a snack

Which intervention is most appropriate for a patient in a depressive phase of bipolar disorder?

• Encourage multiple new activities at once

✔✔B. Assist with self-care and daily routines

• Minimize rest periods
• Avoid providing social interaction

Which medication requires careful monitoring for signs of toxicity? 2 / 4

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• Fluoxetine
• Lorazepam

✔✔C. Lithium

• Haloperidol

Which nursing diagnosis is most appropriate for a patient in a manic episode?

• Impaired tissue perfusion

✔✔B. Risk for injury related to hyperactivity

• Ineffective airway clearance
• Impaired skin integrity

Which patient statement indicates a need for further teaching about lithium therapy?

• “I will drink adequate water daily.”
• “I will have my blood levels checked regularly.”

✔✔C. “I can skip doses when I feel fine.”

• “I will take my medication at the same time each day.”

Which behavior indicates a patient may be entering a manic episode? 3 / 4

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• Increased need for sleep
• Withdrawal from peers

✔✔C. Excessive involvement in multiple projects

• Slowed speech

Which nursing intervention is most important for a patient with bipolar disorder experiencing rapid cycling?

• Encourage uninterrupted rest for 12 hours

✔✔B. Maintain a structured and calm environment

• Allow unrestricted access to peers
• Assign multiple new tasks simultaneously

Which dietary instruction is essential for a patient taking lithium?

• Avoid all fruits

✔✔B. Maintain consistent sodium intake

• Increase caffeine
• Limit water intake drastically
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