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?

"ECT is contraindicated for clients who have suicidal ideation."

"ECT is prescribed to prevent relapse of bipolar disorder."

"ECT is effective for clients who are experiencing severe mania."

"ECT is the recommended initial treatment for bipolar disorder."

Answer and Explanation

The Correct Answer is C

Rationale:
A. ECT is actually indicated for clients with severe depression or suicidal ideation when rapid symptom relief is necessary.
B. ECT is primarily used for acute treatment, not for relapse prevention. Maintenance medications are typically used to prevent relapse.
C. ECT can be an effective treatment for clients with severe manic episodes, especially when other treatments have failed or the client is a danger to themselves or others.
D. ECT is not first-line; mood stabilizers and antipsychotics are typically used first. ECT is reserved for treatment-resistant or severe cases.

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Correct Answer is B

Explanation

Rationale:
A. Bipolar I disorder involves episodes of full mania, not just hypomania.
B. Bipolar II disorder is characterized by alternating episodes of hypomania and major depression (often mild to moderate).
C. Cyclothymic disorder involves milder mood swings but does not meet criteria for hypomania or major depression.
D. Schizophrenia is a psychotic disorder, not primarily a mood disorder with hypomanic and depressive episodes.

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 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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse understands that the client alternating between hypomania and mild to moderate depression is experiencing which disorder?

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

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

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