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Bipolar Disorder (22 Questions)
1. Mme Gagnon, 28 years old, is admitted for an acute manic episode of Bipolar I Disorder. She is hyperactive, pacing the hallway continuously, talking rapidly (pressured speech), and has lost 3 kg in the last 4 days because she "doesn't have time to sit."
Medical Order: Diet as tolerated. Valproic Acid (Depakote) 250 mg PO TID.
Question: Which nursing intervention is best suited to meet her nutritional needs during this acute phase?
*
Seclude the patient in her room during meal times to minimize distractions.
Insist that she sit at the dining table with the other patients to promote social norms.
Provide high-calorie, high-protein finger foods that she can eat while walking.
Request an order for Total Parenteral Nutrition (TPN) immediately.
2. M. Tremblay, 45 years old, has been taking Lithium Carbonate 300 mg PO TID for 2 years. He comes to the clinic complaining of severe diarrhea, vomiting, and you notice his hands have a coarse, jerky tremor. He appears unsteady on his feet (ataxia).
Recent History: He had the flu last week and was dehydrated.
Question:
What is your interpretation of these symptoms and the priority action?
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He is experiencing expected side effects of Lithium; advise him to take the medication with food.
He has a viral gastroenteritis; encourage fluids and continue medication.
He is having a manic relapse; the physician will likely need to increase the dose.
He is likely showing signs of Lithium Toxicity; hold the medication and obtain a stat serum Lithium level.
3. M. Roy, admitted for mania, is dressed in flamboyant clothing and is interrupting a group therapy session. He is making sexually inappropriate comments to a shy, depressed female patient, causing her visible distress.
Question:
What is the appropriate nursing intervention?
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Ignore the behavior so as not to give M. Roy the attention he seeks.
Immediately escort the female patient out of the room to protect her.
Announce to the group that M. Roy is sick and cannot control himself.
Firmly but calmly redirect M. Roy: "M. Roy, your comments are inappropriate and are disturbing others. Please come with me for a walk in the hall."
4. Mme Lefebvre is in a manic phase. She has not slept for three nights. She spends the night organizing the books in the common room and doing push-ups. She appears energetic but her eyes are bloodshot.
Medical Order: Quetiapine (Seroquel) 50 mg PO HS.
Question:
Why is addressing the sleep deficit a medical priority in this patient?
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Because she is disrupting the sleep of other patients.
Because lack of sleep creates wrinkles and poor hygiene.
Because prolonged sleep deprivation can lead to cardiac collapse and physical exhaustion.
Because she cannot participate in psychotherapy if she is tired.
5. M. Dubé, 30 years old, was recently diagnosed with Bipolar II Disorder. The physician prescribes Lamotrigine (Lamictal) 25 mg PO daily. You are providing discharge teaching.
Question:
Which specific symptom must M. Dubé report to the emergency department immediately?
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A fine hand tremor.
A blistering red rash on the chest or extremities.
Mild drowsiness.
Weight gain of 2 kg.
6. Mme Cloutier has Bipolar I Disorder. She was hospitalized 2 weeks ago for severe mania. Now, her energy has crashed, she refuses to get out of bed, and she states, "I ruined my family's finances when I was high. I am better off dead."
Question:
Why is this specific transition period (from mania to depression) considered high risk for suicide?
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Because the patient realizes the consequences of their manic behavior and feels overwhelming shame/guilt.
Because the medication stops working during the switch.
Because the hospital staff pays less attention to quiet patients.
Because the patient is hallucinating.
7. M. Fortin approaches the nursing station demanding to use the phone. He states, "I need to call the Prime Minister. I have the solution to the national debt, and he is waiting for my call. I am his chief advisor."
Question:
What is the most therapeutic response?
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"M. Fortin, that is not true. You are a patient in the hospital, not an advisor."
"Okay, here is the phone, go ahead and call."
"Tell me exactly what your plan for the debt is."
"I understand you feel it is urgent, but you cannot use the phone right now. Let's go play cards."
9. M. Lambert is being discharged on Lithium Carbonate. He asks about his diet. He mentions he usually eats a low-sodium diet because his father had high blood pressure.
Question:
What is the correct health teaching regarding sodium (salt) intake while on Lithium?
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"You must continue a low-sodium diet to prevent kidney damage."
"You should double your salt intake to ensure the medication works."
"Salt has no effect on Lithium."
"You must maintain a consistent, normal salt intake and fluid intake."
10. A nursing student asks you about the difference between the diagnosis of Mme Caron (Bipolar I) and M. Boucher (Bipolar II).
History: Mme Caron required hospitalization for psychosis and safety. M. Boucher has periods of high energy and productivity but has never been hospitalized for mania, though he suffers deep depressions.
Question:
What is the primary clinical difference distinguishing Bipolar I from Bipolar II?
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Bipolar I involves full Mania, whereas Bipolar II involves Hypomania and Major Depression.
Bipolar I is only depression, Bipolar II is only mania.
Bipolar II is more severe and dangerous than Bipolar I.
Bipolar I occurs in women, Bipolar II occurs in men.
11. Mme Beaulieu, 35 years old, has a history of Bipolar I Disorder. Her husband brings her to the emergency department. He reports that over the past week, she has been sleeping only 2-3 hours per night, talking rapidly and jumping from topic to topic during conversations, and has spent $15,000 on online shopping (purchasing designer handbags, jewelry, and a motorcycle she cannot ride). When you assess her, she is wearing bright, mismatched clothing with excessive makeup, speaks in a loud, animated voice, and interrupts your questions to tell you about her "brilliant new business idea." She states, "I feel amazing! I have never been more creative and productive in my life!"
Medical Order: Mood stabilizer to be determined after assessment.
Question:
Which specific behavior from the history most clearly indicates that Mme Beaulieu is experiencing a manic episode?
*
The fact that she is sleeping only 2-3 hours per night but does not feel tired.
The unrestrained buying spree of $15,000 on unnecessary items despite financial consequences.
Her rapid, pressured speech and flight of ideas during conversation.
Her excessive and inappropriate dress and makeup.
12. M. Grenier, 42 years old, admitted for acute mania, has been making repeated sexual advances toward female staff members. He follows a young nurse down the hallway making explicit comments about her body. The nurse feels threatened and uncomfortable.
Question:
What is the most appropriate immediate nursing intervention?
*
Assign only male nurses to care for M. Grenier for the remainder of his stay.
Ignore the behavior because he cannot control his impulses during mania.
Immediately place M. Grenier in physical restraints.
Set a clear, firm limit: "M. Grenier, your comments are inappropriate and must stop. If you continue, you will need to return to your room."
13. M. Bouchard, 28 years old, is being started on Divalproex Sodium (Epival/Depakote) for acute mania. Before administering the first dose, you review his laboratory results.
Question:
Which baseline laboratory value is most critical to check due to a rare but fatal adverse reaction associated with this medication?
*
Thyroid Stimulating Hormone (TSH).
Liver Function Tests (AST/ALT).
Serum Creatinine.
Blood Glucose.
14. You are attempting to interview Mme Lavoie. When you ask, "How are you feeling today?", she replies: "Feeling? Peeling! Like a banana. I slipped on the ice. Ice is cold, like my ex-husband's heart. Heart attack! Call 911. I need to go to space."
Question:
What is the clinical term for this thought process?
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Neologisms.
Flight of Ideas.
Word Salad.
Clang Associations.
15. Mme St-Jean, 50 years old, is taking Carbamazepine (Tegretol) 200 mg PO BID as a mood stabilizer. She comes to the clinic for a follow-up.
Medical Order: CBC and Liver Function Tests (LFTs) every 3 months.
Question:
Why is regular blood monitoring essential for this specific medication?
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Because Carbamazepine can cause dangerous hyponatremia (low sodium).
Because Carbamazepine causes hyperglycemia and requires monitoring of blood sugar.
Because Carbamazepine depletes potassium levels.
Because Carbamazepine can cause bone marrow suppression (agranulocytosis/aplastic anemia) and liver toxicity.
16. M. Perrin, 40 years old, visits his GP complaining of low energy and sadness. He is diagnosed with Major Depression and prescribed Sertraline (Zoloft). Two weeks later, his wife brings him to the ER. He has not slept in 4 days, is talking a mile a minute, and claims he has written a symphony.
History: This is his first episode of high energy.
Question:
What is the most likely explanation for this clinical presentation?
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He is having an allergic reaction to the Sertraline.
The antidepressant precipitated a manic switch.
He is taking too much of the antidepressant (Serotonin Syndrome).
He has developed Schizophrenia.
17. M. Lavoie, 28 years old, is brought to the ER by police. His family reports he has been agitated, irritable, pacing, and sleeping only 1 hour per night. However, unlike previous manic episodes where he was euphoric, he is now crying uncontrollably, expressing hopelessness, and stating, "Everything is pointless, I want to die, but I can't sit still."
Question:
How do you classify this presentation?
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Pure Manic Episode.
Pure Major Depressive Episode.
Mixed Episode of Bipolar Disorder.
Schizoaffective Disorder.
18. Mme Beaulieu, admitted for mania, is wearing a very revealing top and is approaching male patients in the common room, touching their arms and whispering suggestive comments. The male patients look uncomfortable.
Question:
What is the most appropriate nursing intervention?
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Allow her to express herself, as hypersexuality is a symptom of her illness.
Isolate her in her room for 24 hours.
Distract her and accompany her to her room to assist her in choosing more appropriate clothing.
Tell the male patients to stay away from her.
19. M. Fortin, admitted for mania, announces at 02:00, "I'm leaving right now to drive to Montreal to meet with my business partners for a million-dollar deal!" He is walking toward the exit door.
Medical Order: Voluntary Admission.
Question:
What is your priority action?
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Let him leave because he is a voluntary patient and has the right to leave.
Physically block the door and refuse to let him pass.
Engage him calmly, notify the physician immediately to discuss the need for preventative confinement if he lacks capacity.
Call security to tackle him.
20. M. Cloutier is being assessed for Bipolar II. His wife says, "Sometimes he gets super energetic for 4 or 5 days. He cleans the whole house, sleeps only 4 hours but feels rested, and is very productive at work. He isn't mean or crazy, just 'up'."
Question:
How does this description fit the criteria for Hypomania?
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It is not Hypomania; it is normal behavior.
It fits Hypomania because there is an observable change in functioning and increased energy.
It fits Mania because it lasts longer than 24 hours.
It is likely ADHD, not Bipolar.
21. Mme Fortin is in the acute phase of mania. She is restless and agitated. You are planning the activity schedule for the day.
Question:
Which activity is most therapeutic for her current state?
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A competitive game of volleyball with the other patients.
A complex puzzle requiring concentration.
Writing in a journal or walking in the courtyard with a staff member.
Watching a fast-paced action movie in the TV room.
22. M. Lapierre, a 28-year-old athlete with Bipolar I Disorder, has been stable on Lithium Carbonate 300 mg PO TID for one year. During his clinic visit, he excitedly tells you, "I have signed up for a full marathon (42 km) next month. I plan to train hard and sweat it out!"
Question:
What is the priority nursing advice regarding his medication and this activity?
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"That is wonderful! Intense cardiovascular exercise will help metabolize the Lithium faster, so you may need a higher dose."
"You must be extremely careful. Heavy sweating causes sodium and fluid loss, which can cause your Lithium levels to rise to toxic levels."
"You should skip your morning dose of Lithium on the day of the race to prevent fatigue."
"Exercise has no impact on Lithium, but make sure you wear good running shoes."