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 B

Explanation

Rationale:
A. Lemonade may mask the taste of lithium but does not significantly reduce gastrointestinal irritation.
B. Taking lithium with meals helps buffer the stomach lining, reducing nausea and other GI side effects.
C. A large glass of juice may dilute the medication but does not provide the same protective effect as food.
D. An antacid may help with indigestion, but it is not the primary recommendation for preventing nausea from lithium; additionally, some antacids can alter lithium absorption.

A. Social isolation B. Impaired mood regulation C. Imbalanced nutrition: more than body requirements D. Chronic confusion E. Sleep deprivation

Correct Answer is ["B","E"]

Explanation

Rationale:
A. Social isolation is more typical in depression or withdrawal, not acute mania, where patients are often excessively social or intrusive.
B. Impaired mood regulation is characteristic of mania, involving mood swings, irritability, and poor impulse control.
C. Imbalanced nutrition: more than body requirements is unlikely during mania; patients often have decreased appetite.
D. Chronic confusion is not typical in acute mania; cognitive impairment may be present but is usually not chronic.
E. Sleep deprivation is common in manic episodes due to decreased need for sleep and hyperactivity.

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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:

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Naxlex Comprehensive Predictor Exams

An outpatient diagnosed with bipolar disorder takes lithium carbonate 300 mg three times daily. The patient reports nausea. To reduce the nausea most effectively, the nurse suggests that the lithium be taken with

Correct Answer is B

Explanation

A nurse prepares the plan of care for a patient experiencing an acute manic episode. Which nursing diagnoses are most likely? (Select all that apply).

Correct Answer is ["B","E"]

Explanation

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