A nurse is assessing a patient with bipolar disorder. Which of the following aspects of the assessment should the nurse consider as part of the physical assessment? Select all that apply:

Monitoring signs of psychomotor agitation.

Assessing the patient's memory and attention.

Documenting the patient's medication history.

Measuring vital signs and laboratory tests.

Observing signs of impaired judgment.

Answer and Explanation

Correct Answer : A,B,D,E

Choice A rationale:

Monitoring signs of psychomotor agitation is essential when assessing a patient with bipolar disorder. Psychomotor agitation can occur during manic episodes and is characterized by restlessness, increased activity, and difficulty sitting still. This is a behavioral manifestation closely tied to the patient's psychological state.

Choice B rationale:

Assessing the patient's memory and attention is important in understanding cognitive functioning. Bipolar disorder can have cognitive impacts, and assessing memory and attention can help identify potential deficits or changes in cognitive abilities that might accompany mood fluctuations.

Choice C rationale:

Documenting the patient's medication history is important for the overall care of a patient with bipolar disorder, but it primarily pertains to their medical management rather than the physical assessment aspect. Choices A, B, D, and E are more directly related to the physical and psychosocial assessment of the patient.

Choice D rationale:

Measuring vital signs and laboratory tests can provide valuable information about the patient's physical health, which can be affected by medications or coexisting medical conditions. This is important to ensure the patient's overall well-being and safety.

Choice E rationale:

Observing signs of impaired judgment is crucial in assessing a patient with bipolar disorder. Impaired judgment can be evident during manic episodes and might lead to risky behaviors. This aspect directly relates to the patient's mental state and psychosocial functioning.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["A","B","C"]

Explanation

Choice A rationale:

Assessing the patient's medical history is crucial in understanding potential risk factors for suicide in patients with Major Depressive Disorder (MDD). Various medical conditions and medications can contribute to depression and increase the risk of suicidal ideation. By gathering this information, the nurse can identify any factors that might exacerbate the patient's condition.

Choice B rationale:

Monitoring the patient's response to treatment is essential for assessing the effectiveness of interventions and identifying any signs of worsening depression or increased suicidal risk. Certain treatments, like antidepressant medications, might initially increase the risk of suicide in some patients. Therefore, close monitoring is needed to ensure patient safety.

Choice C rationale:

Asking direct questions about suicidal thoughts is a critical component of assessing suicide risk in patients with MDD. Openly addressing this topic allows the nurse to gauge the patient's current state of mind, explore the presence and severity of suicidal ideation, and take appropriate actions if the patient expresses active suicidal thoughts.

Choice D rationale:

Providing a list of local crisis helplines can be beneficial, but it is not a component of the nursing assessment for suicide risk in patients with MDD. While offering resources is important, the immediate focus should be on assessing the patient's condition and potential risk factors.

Choice E rationale:

Encouraging the patient to isolate themselves is not an appropriate action when assessing suicide risk in patients with MDD. Social isolation can exacerbate depressive symptoms and increase the risk of suicide. Therefore, promoting social connection and support is essential, rather than encouraging isolation.

A. Dry mouth. B. Weight loss. C. Constipation. D. Insomnia.

Correct Answer is D

Explanation

Choice A rationale:

Dry mouth is a common side effect of many medications, but it is not a distinctive side effect of SNRIs (Serotonin-Norepinephrine Reuptake Inhibitors). Dry mouth is more commonly associated with medications that affect salivary gland function, such as anticholinergic drugs.

Choice B rationale:

Weight loss can indeed be a side effect of SNRIs. These medications can impact appetite and metabolism, leading to weight loss in some individuals. However, it is not the most common or distinctive side effect when compared to other options.

Choice C rationale:

Constipation is a side effect that can occur with SNRIs, but it's not as prevalent or characteristic as some other side effects. Constipation is often associated with medications that have anticholinergic effects, which SNRIs generally have to a lesser extent.

Choice D rationale:

(Correct Choice) Insomnia is a well-known side effect of SNRIs. These medications can affect sleep patterns and may cause difficulties falling asleep or staying asleep. This side effect is particularly relevant to discuss with patients because it can impact their quality of life and overall well-being.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is assessing a patient with bipolar disorder. Which of the following aspects of the assessment should the nurse consider as part of the physical assessment? Select all that apply:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

(Select all that apply): A nurse is providing care to a patient with MDD. Which of the following are components of nursing assessment for suicide risk in patients with MDD? (Select three).

Correct Answer is ["A","B","C"]

Explanation

A nurse is educating a patient about SNRI antidepressant medication. What is a common side effect of SNRIs that the nurse should include in the teaching?

Correct Answer is D

Explanation

A nurse is assessing a patient with bipolar disorder. Which of the following aspects of the assessment should the nurse consider as part of the physical assessment? Select all that apply:

A nurse is discussing treatment approaches for bipolar disorder with a client. Which class of medications is considered the gold standard for bipolar disorder treatment due to its efficacy in both acute and maintenance phases?

A nurse is conducting an assessment of a patient with bipolar disorder. The nurse observes that the patient's emotional expression is inappropriate and not congruent with the situation. What should the nurse document about the patient's affect?

A nurse is educating a support group about depressive episodes in bipolar disorder. Which statement accurately describes a symptom of a depressive episode?

A client with bipolar disorder is displaying aggressive behavior and impulsivity. What aspect of the patient's behavior should the nurse observe and document during the assessment?

A nurse is providing education to a client with bipolar disorder about benzodiazepines. Which statement accurately describes a potential side effect of benzodiazepines?

A nurse is providing care to a patient with bipolar disorder. What is the primary goal of the nursing process during the implementation phase for this patient?

A nurse is conducting an assessment of a patient with bipolar disorder. Which aspect of the patient's mental status should the nurse observe and document in relation to their mood state?