Chapter 26: Bipolar Disorders

Chapter 26: Bipolar Disorders

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. Which indicator of disordered communication is the nurse most likely to assess in a patient having a manic episode?

ANS:  B

Flight of ideas is a continuous flow of speech marked by jumping from topic to topic. The other options are most likely to be assessed in patients with schizophrenia.

DIF:    Cognitive level: Applying                REF:   p. 295; Box 26-1

TOP:   Nursing process: Assessment           MSC:  NCLEX: Psychosocial Integrity

2. A patient at the clinic describes periods of sadness and depression as well as episodes of elation over the past 3 years. The patient adds, “Fortunately, I have been able to keep my job despite these mood changes.” These findings are most consistent with which disorder?

ANS:  C

Cyclothymic disorder is characterized by mood swings between hypomania and depressive symptoms, with behavior at the poles being less severe than mania or depression. The patient’s ability to remain employed indicates that the periods of elation were hypomania rather than mania. The patient’s description does not meet criteria for any of the other options listed.

DIF:    Cognitive level: Analyzing              REF:   p. 299

TOP:   Nursing process: Assessment           MSC:  NCLEX: Psychosocial Integrity

3. Which principle is most useful and effective when interacting with a patient experiencing a manic episode?

ANS:  B

A calm, matter-of-fact approach minimizes the need for the patient to respond defensively and avoids power struggles. Using this approach, the nurse conveys both control of the situation and empathy. The other options are not principles related to therapeutic interactions with a patient experiencing a manic episode. The distracters allow for manipulation of the nurse and for the patient to control the interaction.

DIF:    Cognitive level: Applying                REF:   pp. 302-303

TOP:   Nursing process: Implementation     MSC:  NCLEX: Psychosocial Integrity

4. A nurse assesses a new patient experiencing a manic episode. Which behavior is most likely to have occurred before hospitalization?

ANS:  C

There is increased physical and mental activity exhibited during a manic episode. Moving rapidly from one activity to another is characteristic behavior during a manic episode. The other behaviors mentioned are not consistent with what occurs during a manic episode.

DIF:    Cognitive level: Applying                REF:   p. 297; Criteria for Bipolar Disorders

TOP:   Nursing process: Assessment           MSC:  NCLEX: Psychosocial Integrity