Sharon Cole vSim Mental Health Questions and Answers 100% Pass

Sharon Cole vSim Mental Health Questions and Answers 100% Pass Which symptoms are consistent with a diagnosis of bipolar disorder? Mania Depression Which characteristics are associated with the manic phase of bipolar disorder? Distractibility Flight of ideas High-risk behaviors Grandiosity The term lability is used to define what type of mood-associated behavior? Rapid shifts between emotional extremes Which symptom of mania places a patient with bipolar disorder at greatest risk for injury? Impulsivity Which serum level indicates that the patient is receiving an appropriate maintenance dose of lithium 0.7 mEq/L What is the priority safety-related outcome for a patient currently experiencing mania associated with bipolar disorder? Remains free from injury of trauma. Which as-needed medication should the nurse administer to a patient demonstrating agitation related to mania? Lorazepam What are the classic behaviors associated with the manic phase of bipolar disorder? Extreme distractibility Paranoid thinking Flight of ideas Agitation Which assessment question should the nurse ask Mrs. Cole to best determine the cause of manic behavior? When did you take your last dose lithium? Which behavior suggests that Mrs. Cole would benefit from a prescribed as-neede dose of lorazepam? Becoming noticeably agitated. Considering bipolar 1 disorder, which statement made by a patient should be considered an indicator of high risk for self-harm? "I hope my husband will remember how much I loved him after I'm gone." Which intervention should be considered to help prevent Mrs. Cole from agitated? Turn off the television in her room Which factor increase the index of self-harm for a patient experiencing the manic phase of bipolar 1 disorder? Distorted thinking Increased energy Potential for delusional thinking To best encourage medication adherence to her newly prescribed lithium therapy, which should the nurse provide Mrs. Cole and her family? Expect intermittent bouts of nausea for several days after lithium therapy begins. Initially expect a sensation of thirst. Drink plenty of water when taking the medication to minimize gastrointestinal upset. Which instruction should the nurse include in medication teaching to Mrs. Cole and her husband regarding lithium therapy? Regular blood test are vital to assure serum level remain below 1.5 mEq/L Fluid intake should be 2 1/2 to 3 L daily. Thyroid function should be monitored every 6-12 months. The nurse is providing medication education to Mrs. Cole and her husband regarding the appropriate administration and use of oral lorazepam. What should be provided when her husband asks how long it will take for the medication to start to affect her symptoms? 1 hour The nurse should warn Mrs. Cole and her husband that lorazepam therapy should not be stopped abruptly because doing so will likely result in which consequence? Triggering of withdrawal symptoms Which nursing interventions are appropriate for inclusion into the care plan of a patient demonstrating agitation resulting from a manic episode? Approach the patient in a nonjudgmental manner. Maintain a calm, quiet environment for the patient. Provide the patient with a consistent routine.