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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["A","C","D","E"]

Explanation

Rationale:
A. This is a form of disorganized speech where the person rapidly shifts from one topic to another, often without logical connection.
B. This is a type of delusional thinking, not a speech pattern. It involves an inflated sense of self-importance or abilities.
C. This occurs when the person begins to answer a question but veers off-topic and never returns to the original point.
D. This involves including excessive and unnecessary detail but eventually returning to the point, demonstrating disorganized but not completely illogical thought.
E. This is rapid, excessive speech that is difficult to interrupt, common in manic episodes and a sign of disorganized communication.Top of Form

A. Beef and vegetable stew, a roll, and chocolate pudding. B. Chicken casserole, green beans, and flavored gelatin with whipped cream. C. Spaghetti and meatballs, salad, and a banana. D. Finger foods, high protein shake and sliced apples.

Correct Answer is D

Explanation

Rationale:
A. Stew requires sitting still to eat with utensils, which can be difficult for a patient with acute mania due to poor concentration and hyperactivity.
B. Casserole and vegetables also require time and utensils; not ideal for someone who needs quick, portable options.
C. Spaghetti and salad are not easily eaten on the go and may be left unfinished by a hyperactive patient.
D. Finger foods and a high-protein shake allow quick, easy eating, meet nutritional needs, and are better suited to the distractibility and restlessness seen in acute mania.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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

A nurse is caring for a patient with mania. She knows this person would experience issues with disorganized thoughts and speech patterns. Select the evident ways in which disorganized speech might be manifested. (Select all that apply).

Correct Answer is ["A","C","D","E"]

Explanation

Which dinner menu is best suited for a patient with acute mania?

Correct Answer is D

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).

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?

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

A patient diagnosed with bipolar disorder is in the maintenance phase of treatment. The patient asks, "Do I have to keep taking this lithium even though my mood is stable now?" Select the nurse's appropriate response.

A patient has been admitted and the nurse suspect lithium toxicity. What symptoms should be suspected with a patient who has to

Four new patients were admitted to the behavioral health unit in the past 12 hours. The nurse directs a psychiatric technician to monitor these patients for safety. Which patient will need the most watchful supervision? A patient diagnosed with

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:

A nurse knows that lithium should be measured at least how many days after beginning lithium therapy and after any dosage change when?