Nurs 1020- Vsim- Core-Bipolar Disorder Nursing Care
Exam 2 Questions and Answers
Bipolar disorder
Patient care
VSim scenarios
Mania symptoms
Which of the following is a hallmark symptom of mania?
A. Low energy
B. Pressured speech
C. Hypersomnia
D. Social withdrawal
Lithium monitoring
What is the therapeutic serum range for lithium?
A. 0.1–0.5 mEq/L
B. 0.6–1.2 mEq/L
C. 2.0–3.0 mEq/L
D. 3.5–4.0 mEq/L
Nursing priority
A patient in acute mania is pacing, talking rapidly, and refusing meals. What is the
nurse’s priority intervention?
A. Encourage group therapy
B. Provide finger foods
C. Offer detailed teaching about medication
D. Allow unlimited activity
Medication teaching
Which statement indicates correct understanding of lithium therapy?
A. “I should avoid drinking too much water.”
B. “I need to maintain consistent salt intake.”
C. “I can stop the medication when I feel better.”
D. “I should take lithium only at bedtime.”
Safety concerns
During a manic episode, the greatest safety concern is:
A. Risk of dehydration
B. Risk of injury due to impulsivity
C. Risk of infection
D. Risk of isolation
, Depressive phase
Which symptom is most consistent with the depressive phase of bipolar disorder?
A. Grandiosity
B. Flight of ideas
C. Anhedonia
D. Pressured speech
Family education
What should families be taught about bipolar disorder?
A. Relapses are rare once medication starts
B. Early recognition of mood changes can prevent relapse
C. Hospitalization is never required
D. Sleep patterns are not important
VSim scenario
In a VSim scenario, the patient with mania is refusing medication. What is the best
nursing response?
A. “You must take this now.”
B. “Let’s talk about your concerns with the medication.”
C. “I’ll come back later when you’re calmer.”
D. “Skipping one dose won’t matter.”
Cognitive effects
Which cognitive symptom is common in mania?
A. Slow thought processes
B. Distractibility
C. Memory loss
D. Mutism
Interdisciplinary care
Which team member is most appropriate to address medication adherence issues?
A. Occupational therapist
B. Psychiatric nurse
C. Physical therapist
D. Social worker
Rapid cycling
Rapid cycling in bipolar disorder is defined as:
A. Four or more mood episodes per year
B. Two episodes per month
C. Daily mood swings
D. One episode per year
Mood stabilizers
Which medication is NOT considered a mood stabilizer?
A. Lithium
Exam 2 Questions and Answers
Bipolar disorder
Patient care
VSim scenarios
Mania symptoms
Which of the following is a hallmark symptom of mania?
A. Low energy
B. Pressured speech
C. Hypersomnia
D. Social withdrawal
Lithium monitoring
What is the therapeutic serum range for lithium?
A. 0.1–0.5 mEq/L
B. 0.6–1.2 mEq/L
C. 2.0–3.0 mEq/L
D. 3.5–4.0 mEq/L
Nursing priority
A patient in acute mania is pacing, talking rapidly, and refusing meals. What is the
nurse’s priority intervention?
A. Encourage group therapy
B. Provide finger foods
C. Offer detailed teaching about medication
D. Allow unlimited activity
Medication teaching
Which statement indicates correct understanding of lithium therapy?
A. “I should avoid drinking too much water.”
B. “I need to maintain consistent salt intake.”
C. “I can stop the medication when I feel better.”
D. “I should take lithium only at bedtime.”
Safety concerns
During a manic episode, the greatest safety concern is:
A. Risk of dehydration
B. Risk of injury due to impulsivity
C. Risk of infection
D. Risk of isolation
, Depressive phase
Which symptom is most consistent with the depressive phase of bipolar disorder?
A. Grandiosity
B. Flight of ideas
C. Anhedonia
D. Pressured speech
Family education
What should families be taught about bipolar disorder?
A. Relapses are rare once medication starts
B. Early recognition of mood changes can prevent relapse
C. Hospitalization is never required
D. Sleep patterns are not important
VSim scenario
In a VSim scenario, the patient with mania is refusing medication. What is the best
nursing response?
A. “You must take this now.”
B. “Let’s talk about your concerns with the medication.”
C. “I’ll come back later when you’re calmer.”
D. “Skipping one dose won’t matter.”
Cognitive effects
Which cognitive symptom is common in mania?
A. Slow thought processes
B. Distractibility
C. Memory loss
D. Mutism
Interdisciplinary care
Which team member is most appropriate to address medication adherence issues?
A. Occupational therapist
B. Psychiatric nurse
C. Physical therapist
D. Social worker
Rapid cycling
Rapid cycling in bipolar disorder is defined as:
A. Four or more mood episodes per year
B. Two episodes per month
C. Daily mood swings
D. One episode per year
Mood stabilizers
Which medication is NOT considered a mood stabilizer?
A. Lithium
