Chapter 13: Bipolar and Related Disorders

Chapter 13: Bipolar and Related Disorders

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. A person was online continuously for over 24 hours, posting rhymes on official government websites and inviting politicians to join social networks. The person has not slept or eaten for 3 days. What features of mania are evident?

ANS:  C

Hyperactivity (activity without sleep) and poor judgment (posting rhymes on government websites) are characteristic of manic episodes. The distracters do not specifically apply to mania.

PTS:   1                    DIF:    Cognitive Level: Analyze (Analysis)

REF:   Page 228-229                                  TOP:   Nursing Process: Assessment

MSC:  Client Needs: Psychosocial Integrity

2. A patient diagnosed with bipolar disorder is dressed in a red leotard and bright scarves. The patient twirls and shadow boxes. The patient says gaily, “Do you like my scarves? Here; they are my gift to you.”  How should the nurse document the patient’s mood?

ANS:  A

The patient has demonstrated clang associations and pleasant, happy behavior. Excessive happiness indicates euphoria. Irritability, belligerence, excessive happiness, and confidence are not the best terms for the patient’s mood. Suspiciousness is not evident.

PTS:   1                    DIF:    Cognitive Level: Apply (Application)

REF:   Page 228-230                                  TOP:   Nursing Process: Assessment

MSC:  Client Needs: Psychosocial Integrity

3. A person was directing traffic on a busy street, rapidly shouting, “To work, you jerk, for perks” and making obscene gestures at cars. The person has not slept or eaten for 3 days.  Which assessment findings will have priority concern for this patient’s plan of care?

ANS:  C

Hyperactivity, poor nutrition, hydration, and not sleeping take priority in terms of the needs listed above because they threaten the physical integrity of the patient. The other behaviors are less threatening to the patient’s life.

PTS:   1                    DIF:    Cognitive Level: Apply (Application)

REF:   Page 234-236 (Case Study and Nursing Care Plan 13-1)     TOP:   Nursing Process: Planning

MSC:  Client Needs: Safe, Effective Care Environment

4. A patient diagnosed with acute mania has distributed pamphlets about a new business venture on a street corner for 2 days. Which nursing diagnosis has priority?

ANS:  A

Although each of the nursing diagnoses listed is appropriate for a patient having a manic episode, the priority lies with the patient’s physiological safety. Hyperactivity and poor judgment put the patient at risk for injury.

PTS:   1                    DIF:    Cognitive Level: Apply (Application)

REF:   Page 234-235 (Table 13-1) | Page 236 (Case Study and Nursing Care Plan 13-1)

TOP:   Nursing Process: Diagnosis/Analysis

MSC:   Client Needs: Safe, Effective Care Environment