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?

"You know we will not let you hit anyone. Why do you continue this behavior?"

"Do not hit anyone. If you are unable to control yourself, we will help you."

"Stop that! No one did anything to provoke an attack by you."

"If you do that one more time, you will be secluded immediately."

Answer and Explanation

The Correct Answer is B

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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Correct Answer is C

Explanation

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.

A. Arthritis B. Heart failure C. Psoriasis D. Epilepsy

Correct Answer is B

Explanation

Rationale:
A. Arthritis does not typically affect lithium metabolism or clearance.
B. Heart failure can impair renal function and fluid balance, increasing the risk of lithium toxicity and making serum concentration monitoring critical.
C. Psoriasis does not interfere with lithium pharmacokinetics.
D. Epilepsy is not directly related to lithium metabolism, though caution is warranted if the patient is on other medications.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is B

Explanation

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