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

dysthymic disorder

bipolar II disorder

bipolar I disorder

cyclothymic disorder

Answer and Explanation

The Correct Answer is C

Rationale:
A. Dysthymic disorder is a chronic mild depression and typically does not require intensive supervision.
B. Bipolar II disorder involves hypomania and depression but less severe mania than Bipolar I.
C. Bipolar I disorder includes full manic episodes which can involve risky, impulsive, or aggressive behavior requiring close supervision for safety.
D. Cyclothymic disorder involves milder mood swings and generally lower risk behaviors.

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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. shortness of breath, gastrointestinal distress, chronic cough B. weakness, nausea, diarrhea C. ECG changes, chest pain, dizziness D. gastrointestinal distress, thirst, nystagmus

Correct Answer is B

Explanation

Rationale:
A. Shortness of breath and chronic cough are not typical early signs of lithium toxicity; these suggest possible respiratory or cardiac issues unrelated to lithium.
B. Early signs of lithium toxicity include gastrointestinal upset (nausea, diarrhea) and neuromuscular effects such as weakness.
C. ECG changes and chest pain can occur with severe toxicity, but they are not the most common initial symptoms.
D. Thirst may be a side effect of lithium due to nephrogenic diabetes insipidus, and nystagmus can occur in severe neurotoxicity, but these are not the classic early warning signs.

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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

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

Correct Answer is B

Explanation

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 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 nurse is creating a plan of care for a client with mania and determines that the client is experiencing disturbed thoughts. Which activity related to disturbed thoughts should the nurse provide for the client initially?

The nurse receives a laboratory report indicating a patient's serum level is 1 mEq/L. The patient's last dose of lithium was 8 hours ago. This result is

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

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

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