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 C

Explanation

Rationale:
A. Restraining should only be used as a last resort when the patient poses an imminent danger to self or others, not as an initial intervention.
B. Allowing the patient to act out feelings without limits can lead to unsafe behaviors and escalate manic symptoms.
C. Setting limits on behavior provides structure, maintains safety, and helps the patient with mania feel more secure and contained.
D. Providing verbal instructions to remain calm is ineffective in acute mania, as the patient’s ability to process and follow directions is impaired.

A. "You know we will not let you hit anyone. Why do you continue this behavior?" B. "Do not hit anyone. If you are unable to control yourself, we will help you." C. "Stop that! No one did anything to provoke an attack by you." D. "If you do that one more time, you will be secluded immediately."

Correct Answer is B

Explanation

Rationale:
A. This approach is confrontational and accusatory, which may escalate agitation in a hyperactive or manic patient.
B. This response sets clear limits in a calm, supportive, and non-threatening manner, while also offering assistance with impulse control.
C. This statement is shaming and could escalate aggression rather than de-escalate the situation.
D. This is a threat rather than a therapeutic intervention, and it may increase the patient's agitation or resistance.

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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

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

Correct Answer is C

Explanation

A patient diagnosed with bipolar disorder becomes hyperactive after discontinuing lithium. The patient threatens to hit another patient. Which comment by the nurse is appropriate?

Correct Answer is B

Explanation

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

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

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

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?

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).