ATI LPN
Psychiatric Nursing: Contemporary Practice 6th Edition
Chapter 24 : Bipolar Disorders: Management of Mood Lability Questions
Question 1 of 5
A client asks the nurse if he needs to alter any of his activities because he is taking lithium carbonate. Which of the following responses would be most appropriate?
Correct Answer: A
Rationale: Lithium levels can increase to toxic levels with dehydration from heavy perspiration, as sodium loss affects lithium excretion. Increasing salt intake (
A) during such activities helps maintain safe lithium levels. Sunscreen (
B) is unrelated, reducing fluid (
C) risks toxicity, and no changes (
D) ignores the risk of dehydration.
Question 2 of 5
The nurse is assessing a client with bipolar disorder who is experiencing mania. The client states, I?m just so beautiful. Everyone just stops and stares at how gorgeous I am. Men constantly want to have sex with me. The nurse interprets these statements as indicative of which type of mood?
Correct Answer: C
Rationale: Expansive mood (
C) in mania is characterized by grandiose, exaggerated self-perception, as seen in the client?s statements about beauty and desirability. Irritable mood (
A) involves agitation, elevated mood (
B) is less specific, and euphoric mood (
D) reflects intense happiness without the grandiose quality.
Question 3 of 5
The nurse is reviewing the medical record of a client with bipolar disorder. The nurse would most likely expect to find a history of which of the following?
Correct Answer: A
Rationale: Panic disorder (
A) commonly co-occurs with bipolar disorder due to shared neurobiological pathways and anxiety?s prevalence in mood disorders. Schizophrenia (
B) and delusional disorder (
C) are psychotic disorders with distinct features, and PTSD (
D) is less commonly associated with bipolar disorder.
Question 4 of 5
A nurse is developing a presentation for families who have members that have been diagnosed with bipolar disorders. When describing this condition to the group, which of the following would the nurse most likely include?
Correct Answer: C
Rationale: Bipolar disorder carries a high suicide risk during both depressive and manic episodes (
C), due to despair in depression and impulsivity in mania. Episodes often persist or worsen with age (
A), stressors (
B) are triggers but not primary causes, and risk-taking is more common in mania, not depression (
D).
Question 5 of 5
A client is to receive lithium therapy as part of the treatment plan for bipolar disorder. When reviewing the client?s medication history, which agents would alert the nurse to the possibility that a decrease in lithium dosage may be needed? Select all that apply.
Correct Answer: B,C
Rationale: Hydrochlorothiazide (
B) and indomethacin (
C) reduce lithium excretion, increasing lithium levels and requiring potential dose reduction to avoid toxicity. Lisinopril (
A), caffeine (
D), and aspirin (E) have minimal impact on lithium pharmacokinetics.