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

Restrain the patient to reduce hyperactivity and aggression

Allow the patient to act out feelings

Set limits on patient behavior as necessary

Provide verbal instructions to the patient to remain calm

Answer and Explanation

The Correct Answer is C

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.

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Correct Answer is C

Explanation

Rationale:
A. Suggesting it is unusual for the provider to continue lithium could undermine trust in the treatment plan and is inaccurate.
B. Lithium is typically continued long-term or indefinitely to prevent relapse, not just for 6 months.
C. Continuing daily lithium helps maintain mood stability and significantly reduces the risk of relapse in bipolar disorder, even when the patient feels well.
D. Stopping lithium after only 1 month of stability greatly increases the likelihood of recurrence of manic or 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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When a hyperactive patient diagnosed with acute mania is hospitalized, what is the initial nursing intervention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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.

Correct Answer is C

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

A person was online continuously for over 24 hours, posting rhymes on official government websites and inviting politicians to join social networks. The person has not slept or eaten for 3 days. What features of mania are evident?

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?

An outpatient diagnosed with bipolar disorder takes lithium carbonate 300 mg three times daily. The patient reports nausea. To reduce the nausea most effectively, the nurse suggests that the lithium be taken with

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?

Which documentation indicates that the treatment plan for a patient diagnosed with acute mania has been effective?

A nurse is caring for a patient with mania. She knows this person would experience issues with disorganized thoughts and speech patterns. Select the evident ways in which disorganized speech might be manifested. (Select all that apply).

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

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?