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 B

Explanation

Rationale:
A. While depression may contribute to substance use, this choice makes an assumption about the patient's emotional state without adequate context.
B. Individuals with bipolar disorder often use substances like alcohol to manage or "self-medicate" their mood symptoms instead of taking prescribed medications.
C. This statement is overly simplistic and not clinically accurate; behavior is influenced by multiple factors, not just neurotransmitter levels.
D. While anxiety might coexist, this statement is vague and doesn't directly explain the pattern of substituting alcohol for prescribed medications.

A. "ECT is contraindicated for clients who have suicidal ideation." B. "ECT is prescribed to prevent relapse of bipolar disorder." C. "ECT is effective for clients who are experiencing severe mania." D. "ECT is the recommended initial treatment for bipolar disorder."

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.

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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 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:

Correct Answer is B

Explanation

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?

Correct Answer is C

Explanation

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

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

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

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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?

An outpatient diagnosed with bipolar disorder is prescribed lithium. The patient telephones the nurse to say, "I've had severe diarrhea for 4 days. I feel very weak and unsteady when I walk. My usual hand tremor has gotten worse. What should I do?" The nurse will advise the patient to

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?