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

Beef and vegetable stew, a roll, and chocolate pudding.

Chicken casserole, green beans, and flavored gelatin with whipped cream.

Spaghetti and meatballs, salad, and a banana.

Finger foods, high protein shake and sliced apples.

Answer and Explanation

The Correct Answer is D

Rationale:
A. Stew requires sitting still to eat with utensils, which can be difficult for a patient with acute mania due to poor concentration and hyperactivity.
B. Casserole and vegetables also require time and utensils; not ideal for someone who needs quick, portable options.
C. Spaghetti and salad are not easily eaten on the go and may be left unfinished by a hyperactive patient.
D. Finger foods and a high-protein shake allow quick, easy eating, meet nutritional needs, and are better suited to the distractibility and restlessness seen in acute mania.

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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.

A. Restrain the patient to reduce hyperactivity and aggression B. Allow the patient to act out feelings C. Set limits on patient behavior as necessary D. Provide verbal instructions to the patient to remain calm

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.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

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

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).

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?

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?

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

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