MSC: Client Needs: Psychosocial Integrity. practice assessment: rn mental Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions Western Governors University Auburn University StuDocu University operational Bipolar ##### disorder. hamburgers, sandwiches, burritos milkshakes, protein shakes, fruits and veggies = handheld foods on the go. For an older person, the nurse should administer the ear medications by following the steps below: 1)Instill the prescribed drops by holding the dropper 1 cm ( inch) above the ear canal. Assessment data should be routinely gathered about this possible problem. ECT may also be used for clients who are suicidal or those with rapid cycling. Draw a diagram to show what happens in the market for TV screens. The patient threatens to hit another patient. The nurse should implement hygiene, positive reinforcement, a low level of stimuli, and one on one care. Identify client outcomes for Susan in the following areas: lifestyle support/bipolar management, medication management, and crisis management. The patient has demonstrated clang associations and pleasant, happy be, are not the best terms for the patients mood. Deficient diversional activity is more relevant for patients with depression. Supervising choice of clothes. Substance abuse, such as cocaine or methamphetamine overdose. indications of relapse, maintain PTS: 1 DIF: Cognitive Level: Apply (Application) Stop that! - sedation/fatigue (avoid driving until) websites) are characteristic of manic episodes. PTS: 1 DIF: Cognitive Level: Analyze (Analysis) - going rapidly from one activity to another The care of the client is based on the phase of bipolar disorder that the client is experiencing. c. excess sensitivity in dopamine receptors may trigger episodes. medication administrations, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. prevent recurrences. d. More individuals with bipolar disorder come from high socioeconomic and b. clothes at all times has not proven successful, considering the behavior has continued. nursing diagnoses are most likely? c. tell the patient that others feel embarrassed. Restlessness Rasmussen College,Ocala. The mood - will need alternative forms of birth control methods, - for treating acute bipolar mania Who is more at risk for lithium toxicity? - carbamazepine (acute mania) T = TOXIC SIGNS - when to report to the HCP a. photovoltaic cells, b. synthetic oil, c. wind moving blades, d. D models. PTS: 1 DIF: Cognitive Level: Analyze (Analysis) do NOT limit sodium or water intake! patient waves a cue in one hand and says, Ill throw the pool balls if anyone comes near c. above therapeutic limits. An outpatient diagnosed with bipolar disorder takes lithium carbonate 300 mg three times REF: Pages 13-18, 19, 46 (Table 13-3) TOP: Nursing Process: Implementation Which is the most appropriate diet and why? TOP: Nursing Process: Planning The family should supervise medication administration to prevent exaggerated way to daily stress. - psychomotor retardation or agitation. REF: Pages 13-18, 19, 46 (Table 13-3) | Page 13-19 (Case Study and Nursing Care Plan) Which medication also belongs to this classification? - SSRI fluoxetine (major depressive episode), Therapeutic Procedures for Bipolar Disorder, - ECT - used to treat moderate extreme manic behavior when lithium (pharm therapy) has not worked - flat, blunt, labile affect Hyperactivity (activity without sleep) and poor judgment (posting rhymes on government, websites) are characteristic of manic episodes. d. aripiprazole. 3. TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity. PTS: 1 DIF: Cognitive Level: Understand (Comprehension) or possessions -Medications -. Psychological stressors can trigger an episode of mania. "Nurse Ben continues to collect information related to Susan Choi's episode of manic behavior. Decrease stimulation without isolating the client if Should a patient on lithium go outside to exercise on hot days? options do not support the theory of genetic transmission and other factors involved in the whenever possible. The nurse wants to interrupt this behavior With catatonia complex independent variables. Distractibility and decreased attention span activity. - denial of illness, Expected Findings: Depressive Characteristics, (low mood, low energy, low motivation, high risk suicide) episode, the priority lies with the patients physiological safety. Criteria have been met for at least one manic episode (, Remission status if full criteria are not currently met for a manic, hypomanic, ()Bipolar ATI Real Life RN Mental Health 3.0 Assignment, https://www.ncbi.nlm.nih.gov/books/NBK519712/table/ch3.t8/, Intro to Professional Nursing (NURSING 202), Principles of Marketing (proctored course) (BUS 2201), Strategic Decision Making and Management (BUS 5117), Clinical - RN Concept-Based Transition to Professional Nursing Practice (RNSG 1263), Nursing Concepts: Health and Wellness Across the Lifespan I (NUR 1020C), Organic Chemistry Laboratory I (CHEM 223), Nursing B43 Nursing Care of the Medical Surgical (NURS B43), Entrepreneurship 1 (proctored course) (BUS 3303), American Politics and US Constitution (C963), Nurs & Healthcare I: Foundations [Lec] (NURS356), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Student-HTN-Atherosclerosis Unfolding Reasoning, Lesson 12 Seismicity in North America The New Madrid Earthquakes of 1811-1812, AP Government Required Foundational Document Study Sheet, BIO Midterm 2 - BIO NOTES FOR CITOVSKYS CLASS ENJOYYY, Request for Approval to Conduct Research rev2017 Final c626 t2, QSO 321 1-3: Triple Bottom Line Industry Comparison, Lunchroom Fight II Student Materials - En fillable 0, Conversation Concept Lab Transcript Shadow Health, (Ybaez, Alcy B.) - muscle weakness It is most important to ensure HESI Q: valproic acid, which lab finding is most important? The foods in the incorrect options cannot be Providing portable, nutritious food because the client hydration, and not sleeping take priority in terms of the needs listed above because they - impulsivity: spending money, giving away money or possessions REF: Pages 13-30, 31 TOP: Nursing Process: Planning alternate aerobic exercise with scheduled periods of rest. -- elderly patients who have naturally decreased kidney function This new feature enables different reading modes for our document viewer. Genitourinary: Deferred. "Nurse Ben is reviewing the adverse effects of lamotrigine. and honest feedback may seem heavy-handed and may incite anger. ultimately result in the extravagant expenditure. - set limits and be consistent with consequences (for aggression). --avoid power struggles, do not react personally to pt comments, Mood Stabilizer b. Irritable Assess the client regularly for suicidal thoughts, others are embarrassed will not make a difference to the patient whose grasp of social bipolar disorder. The patient says ga. are my gift to you. How should the nurse document the patients mood? ANS: C the rights of others, limits must be set in an effort to de-escalate the situation. (b) 5etu(t)-5e^{-t}u(t)5etu(t) c. Increasing food and fluids Decrease client's physical activity. Mi pap fue a la What can be a precipitating factor of an episode of mania? Asking whether the patient has enough Communication: - tearful, crying . d. invalid because of the time lapse since the last dose. PTS: 1 DIF: Cognitive Level: Understand (Comprehension) Cross), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Give Me Liberty! [Use the Memory trick MANIA: - decreased sleep manipulative behavior, poor judgment, ATI Pharmacology Proctored. a. clonazepam Please check the country and number. After hospital The nurse should (You will find hot spots to select in the artwork below. c. Ask the health care provider to prescribe an increased dose and frequency of Post the items of Gentry, Inc. to the accounts receivable ledger. 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. - drink plenty of fluids educational backgrounds. Abnormally elevated mood, which may also be described as expansive or irritable; usually requires inpatient treatment. Demanding and manipulative behavior Can be used to subdue extreme manic behavior, especially when pharmacological therapy, such as lithium, has not worked. A. toward more appropriate, constructive activities without entering into power struggles. might not be able to sit down to eat. Which of the following menus represents an appropriate diet for Susan?". gabapentin. - Limit group contact: NO dining room or eating with others (increases stimuli); NO group activities (always 1-on-1 activity) -substance use disorder -alcohol cocaine use, -Use of substances (c) 4te2tu(t)4te^{-2t}u(t)4te2tu(t) for the diagnosis of bipolar I disorder. ANS: B What interventions should the nurse include in Susan's plan of care? - Smoothie, banana, sandwiches, and chips. HESI: what action should the nurse perform for a lithium level 1.8 mEq/L? - encourage physical exercise with staff la (4) para comprar un cuaderno y unos lpices. - or weight LOSS (anorexia and mild GI upset from med), Teaching intervention for dry mouth/thirst from lithium, -ice chips Safety and physiological needs have the highest priority. Psych: Bipolar Disorder for NCLEX, ATI and HESI Nexus Nursing 107K subscribers Subscribe 1.1K 24K views 1 year ago Psych Learn the important concepts to know for Bipolar patients. With anxious distress A less severe episode of mania that lasts at least 4 days accompanied by three or more manifestations of mania. the only way to safely decrease stimulation for the client. Treatment of lithium intoxication: Facing the need for evidence. ANS: C The distracter, patient twirls and shadow boxes. Use therapeutic communication techniques, mood stabilizers ANS: D REF: Pages 13-26, 49 (Table 13-4) TOP: Nursing Process: Assessment - use another form of BCP NO! Denial of illness, Flat, blunted, labile affect - 'According to the literature, there is strong genetic predisposition for bipolar disorders. - thrombocytopenia, Bipolar disorder Which of the following responses to the question asked by the client's mother is appropriate? Fear of becoming dependent. C. Reduction of mania symptoms is the goal of treatment. Structure will support a safe environment. A. periods of normal functioning alternate with periods of illness. Asking if the patient is bothered by clothing serves no purpose. Carbemazepine Toxicity r/t Lithium-induced hypothyroidism and decreased kidney functions or failure. TOP: Nursing Process: Implementation MSC: Client Needs: Psychosocial Integrity. When Susan is readmitted for depression and states she feels like she is in a big dark - foods on the go (NCLEX) - does not need fork etc. The patient has demonstrated clang associations and pleasant, happy behavior. - non-stop physical activity and poor nutritional intake (physical exhaustion, may cause death) "Nurse Ben develops an initial meal plan for Susan Choi and is preparing to discuss the plan with Susan and her mother. d. You know we will not let you hit anyone. - Liver Toxic (monitor for jaundice; monitor LFTs (AST/ALT) b. risperidone What two organs are being evaluated as indicated in the labs? 254 Report Document Comments Please sign inor registerto post comments. Students also viewed Introduction to Materials HW 8 Chapter 1 - notes Research Tutorial Student d. Ineffective therapeutic regimen management, A patient diagnosed with bipolar disorder becomes hyperactive after discontinuing lithium. ANS: D lithium toxicity, can mimic ADHD, alternate periods Bene ts of psychotherapy and support groups to prevent relapse BD pt needs high calorie, high protein, high fluid intake (manic episodes require more energy!) AVOID nsaids, diuretics, anticholinergics ANS: B PTS: 1 DIF: Cognitive Level: Understand (Comprehension) b. A patient experiencing acute mania is dancing atop a pool table in the recreation room. REF: Page 13-8 TOP: Nursing Process: Implementation Currently, the editor is planning to distribute 10,000 complimentary copies. REF: Pages 13-18, 19, 25, 46 (Table 13-3) | Page 13-19 (Case Study and Nursing Care I - increasing fluid and sodium. The nurse should implement hygiene, positive reinforcement, a low level of stimuli, and one on one care. 1. review education material about bipolar disorder and its management 2. PTS: 1 DIF: Cognitive Level: Analyze (Analysis) One B. Even if I take my medication, there are no guarantees. - Eat meals in the dining area with other patients, Anxiolytics (clonazepam, alprazolam [benzos]) - decreases the mood while waiting for mood stabilizers to take effect. - anticonvulsant Lack of energy This can become a medical emergency. Consider the markets for film streaming services, TV screens, and tickets at movie theaters. --provide for consistency with expectations and limit-setting If you do that one more time, you will be secluded immediately. be set in simple, concrete terms. Pressured speech and grandiosity Usually requires hospitalization. ", - Thought Content = Grandiose thinking + Racing/magical thinking. Note: Major depressive episodes are common in bipolar I disorder but are not required - constant delusions. cant pee with 'em) including foods that have diuretic properties (coffee, cola, and teas (we want more fluid in and less fluid out)) The Mood Disorders Questionnaire is a standardized tool that places mood progression on a continuum for hypomania (euphoria) to acute mania (extreme irritability and hyperactivity) to delirium (completely out of touch with reality). Manic episodes last at least 1 week. are not the best terms for the patients mood. psychotic, paranoid, and/or bizarre behavior during periods of mania. Select the nurses appropriate response. patient maintain appropriate behavior. when do they usually emerge and early onset early adulthood, earlyonset bipolar disorder can be diagnosed in pediatric clients. A client who has a recent diagnosis of bipolar disorder is Move the client who has bipolar disorder to a private room. --provide portable nutritious foods (bc pt might not be able to sit down for a meal) daily. Poor judgment environmental stress, follow-up appointment, therapy, Some patients find that taking lithium with meals diminishes nausea. Social phobia and specific phobias antidepressants, Lithium carbonate The three drugs in the stem of the question are all anticonvulsants. -extreme thirst (dehydration) ANS: A, B, D, E question. (b) What is the effect of the narrator's choice of details? ATI PN/RN Comprehensive Predictors A,B,C (5 Versions) 100% Verified & Reliable Latest Update 2019/2020/2021 $20.45 18 X Sold 5 items Bundle contains 5 documents 1. (Include three or more outcomes for each category. TOP: Nursing Process: Planning MSC: Client Needs: Psychosocial Integrity. If she still refuses call dr, 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. b. - low Na+ (<135) - poor judgement - restlessness The following are ATI exam questions that will prepare you for the exam. Hygiene, such as showering, combing her hair, brushing her teeth and dressing accordingly bipolar II, cyclothymic disorder, or dysthymic disorder. When Im manic, my behavior 390 Report Document Comments Please sign inor registerto post comments.

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