A nurse is caring for a client who has bipolar disorder. Which of the following actions by the client should the nurse interpret as displaying manic behavior? Select all that apply.

Talking in rapid, continuous speech.

Interacting with others in a flirtatious way.

Dressing in black or grey clothing.

Sleeping for long periods of time.

Spending large sums of money.

Answer and Explanation

Correct Answer : A,B,E

Choice A reason: Rapid, continuous speech is a common symptom of manic behavior, as individuals may feel an increased pressure to speak.

Choice B reason: Flirtatious interaction can be part of the increased sociability and decreased inhibition associated with mania.

Choice C reason: Dressing in black or grey clothing is not specifically indicative of manic behavior.

Choice D reason: Sleeping for long periods is more commonly associated with depressive episodes, not manic behavior.

Choice E reason: Spending large sums of money recklessly can be a sign of the impulsivity and poor judgment that accompany manic episodes.

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Correct Answer is B

Explanation

Choice A reason: Restricting sodium intake is not necessary with lithium carbonate, and maintaining a consistent sodium level is important to prevent lithium toxicity.

Choice B reason: Drinking excessive fluids can dilute lithium levels in the blood, potentially leading to subtherapeutic levels and reduced efficacy of the medication.

Choice C reason: Taking medications with food can help with absorption and minimize gastrointestinal side effects, but it is not specific to lithium carbonate.

Choice D reason: Having blood drawn on schedule is important for monitoring lithium levels and ensuring safe treatment.

A. Urinary retention and constipation B. Fine hand tremors and pill rolling C. Tongue thrusting and lip smacking D. Facial grimacing and eye blinking E. Involuntary pelvic rocking and hip thrusting movements

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

Explanation

Choice A reason: Urinary retention and constipation are not typically associated with tardive dyskinesia, which is characterized by involuntary movements.

Choice B reason: Fine hand tremors and pill rolling are more commonly associated with Parkinson's disease rather than tardive dyskinesia.

Choice C reason: Tongue thrusting and lip smacking are classic signs of tardive dyskinesia, often resulting from long-term use of antipsychotic medications.

Choice D reason: Facial grimacing and eye blinking are also indicative of tardive dyskinesia, reflecting involuntary facial movements.

Choice E reason: Involuntary pelvic rocking and hip thrusting movements can be manifestations of tardive dyskinesia, representing involuntary movements of the body.

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A nurse is caring for a client who has bipolar disorder. Which of the following actions by the client should the nurse interpret as displaying manic behavior? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing education to a client regarding a new prescription for lithium carbonate. Which statement by the client indicates the need for additional education?

Correct Answer is B

Explanation

A nurse is caring for a client who was admitted with acute psychosis and is being treated with haloperidol. The nurse should suspect that the client may be experiencing tardive dyskinesia when the client exhibits which of the following? Select all that apply.

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

Explanation

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