Neeb's Fundamentals of Mental Health Nursing 4th Edition- Linda M.
Neeb's Fundamentals of Mental Health Nursing 4th Edition- Linda M.
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Chapter 12: Bipolar Disorders
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. Your bipolar patient approaches you and says, “I will be running this hospital someday. I know I can change everything.” What is the best intervention?
| A. | Orient the patient by telling her that this would require multiple educational degrees that she does not have. |
| B. | Ask the patient why she thinks she can do that. |
| C. | Redirect the patient to what is going on around her now. |
| D. | Contact the psychiatrist immediately. |
____ 2. Your new patient admitted to the psychiatric unit is pacing and agitated. Which of the following is the most appropriate intervention?
| A. | Introduce the patient to all the other patients. |
| B. | Direct him to a group therapy session. |
| C. | Place him in a quiet area away from other patients. |
| D. | Review the unit rules with the patient to distract him. |
____ 3. Your patient in the psychiatric unit is still up at midnight playing cards. You tell him, “It’s time to get some sleep now.” What is the purpose of this response?
| A. | Limit setting |
| B. | Reality testing |
| C. | Controlling patient so other patients will respond the same way |
| D. | Enforcing rules |
____ 4. Which statement is most likely to be from a patient in a manic episode?
| A. | “I don’t need to sleep.” |
| B. | “I am Jesus Christ.” |
| C. | “Leave me alone while I am reading this textbook.” |
| D. | “I am worthless.” |
Answer Section
MULTIPLE CHOICE
Rather than challenge the patient’s thinking or overreacting, it is best to acknowledge what she said and then distract her to more reality-based thoughts.
PTS: 1
REF: Chapter 12: Bipolar Disorders; General Nursing Interventions for Bipolar Disorder; page 198-199
KEY: Integrated Processes: Caring | Content Area: Mental Health: Therapeutic communication | Cognitive Level: Application | Client Need: Psychosocial Integrity: Therapeutic communication
Rather than adding more information and added stimuli, you are focusing on helping him cope.
PTS: 1
REF: Chapter 12: Bipolar Disorders; General Nursing Interventions for Bipolar Disorder; page 198-199
KEY: Integrated Processes: Nursing Process: Implementation | Content Area: Mental Health: Coping | Cognitive Level: Application | Client Need: Psychosocial Integrity: Behavioral intervention
Limit setting is an important intervention that defines what is expected and what is not allowed. It is more therapeutic than just controlling or enforcing rules.
PTS: 1
REF: Chapter 12: Bipolar Disorders; General Nursing Interventions for Bipolar Disorder; page 198-199
KEY: Integrated Processes: Nursing Process: Implementation | Content Area: Mental Health: Therapeutic communication | Cognitive Level: Application | Client Need: Psychosocial Integrity: Therapeutic communication
Manic patients usually have very little need for sleep. Response B is a delusion of grandeur that may be present but is not most likely. Manic patients are unable to concentrate on reading and less likely to make depressive statements in a manic state.
PTS: 1 REF: Chapter 12: Bipolar Disorders; Manic Phase; page 193-194
KEY: Integrated Processes: Nursing Process: Assessment | Content Area: Mental Health: Mood disorders | Cognitive Level: Application | Client Need: Psychosocial Integrity: Mental health concepts
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