A 28-year-old patient who has diagnosis of bipolar disorder I, drinks alcohol instead of taking her prescribed medications. The nursing caring for this patient recognizes that:

The patient is using alcohol because she is depressed

Alcohol ingestion is a form of self-medication

The patient lacks the neurotransmitters to control behavior

Anxiety may be present.

Answer and Explanation

The Correct Answer is B

Rationale:
A. While depression may contribute to substance use, this choice makes an assumption about the patient's emotional state without adequate context.
B. Individuals with bipolar disorder often use substances like alcohol to manage or "self-medicate" their mood symptoms instead of taking prescribed medications.
C. This statement is overly simplistic and not clinically accurate; behavior is influenced by multiple factors, not just neurotransmitter levels.
D. While anxiety might coexist, this statement is vague and doesn't directly explain the pattern of substituting alcohol for prescribed medications.

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Correct Answer is A

Explanation

Rationale:
A. Painting is a solitary, creative activity that requires minimal cognitive processing and social interaction, making it suitable for clients experiencing disturbed thoughts.
B. Playing cards requires attention to rules and interaction, which might be difficult during disturbed thoughts.
C. Playing board games often requires sustained concentration and social engagement, which may be overwhelming initially.
D. Playing checkers also requires strategy and focus, which may not be appropriate during acute thought disturbances.

A. Arthritis B. Heart failure C. Psoriasis D. Epilepsy

Correct Answer is B

Explanation

Rationale:
A. Arthritis does not typically affect lithium metabolism or clearance.
B. Heart failure can impair renal function and fluid balance, increasing the risk of lithium toxicity and making serum concentration monitoring critical.
C. Psoriasis does not interfere with lithium pharmacokinetics.
D. Epilepsy is not directly related to lithium metabolism, though caution is warranted if the patient is on other medications.

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A 28-year-old patient who has diagnosis of bipolar disorder I, drinks alcohol instead of taking her prescribed medications. The nursing caring for this patient recognizes that:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is creating a plan of care for a client with mania and determines that the client is experiencing disturbed thoughts. Which activity related to disturbed thoughts should the nurse provide for the client initially?

Correct Answer is A

Explanation

A newly diagnosed patient is prescribed lithium. Which information from the patient's history indicates that monitoring of serum concentrations of the drug will be challenging and critical?

Correct Answer is B

Explanation

A nurse is teaching a new RN about the use of electroconvulsive therapy (ECT) for the treatment of bipolar disorder. Which of the following statements by the new RN indicates understanding?

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A 28-year-old patient who has diagnosis of bipolar disorder I, drinks alcohol instead of taking her prescribed medications. The nursing caring for this patient recognizes that:

When a hyperactive patient diagnosed with acute mania is hospitalized, what is the initial nursing intervention?

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