A nurse is educating a group of nursing students about psychotherapeutic interventions for bipolar disorder. Select all the psychotherapeutic interventions that are commonly used for managing bipolar disorder.

Dialectical behavior therapy (DBT).

Cognitive-behavioral therapy (CBT).

Family-focused therapy (FFT).

Interpersonal and social rhythm therapy (IPSRT).

Exposure therapy.

Answer and Explanation

Correct Answer : B,C,D

Choice A rationale:

Dialectical behavior therapy (DBT) is not commonly used as a psychotherapeutic intervention for managing bipolar disorder. DBT is often used to treat borderline personality disorder and focuses on emotional regulation and interpersonal skills.

Choice B rationale:

Cognitive-behavioral therapy (CBT) is commonly used as a psychotherapeutic intervention for managing bipolar disorder. It helps individuals identify and change negative thought patterns and behaviors, which can be valuable in managing both depressive and manic symptoms.

Choice C rationale:

Family-focused therapy (FFT) is commonly used as a psychotherapeutic intervention for managing bipolar disorder. It involves the family in the treatment process and aims to improve communication, problem-solving, and support within the family unit.

Choice D rationale:

Interpersonal and social rhythm therapy (IPSRT) is commonly used as a psychotherapeutic intervention for managing bipolar disorder. It focuses on stabilizing daily routines and sleep patterns, which can help prevent mood episodes and maintain stability.

Choice E rationale:

Exposure therapy is not commonly used for managing bipolar disorder. Exposure therapy is typically used to treat anxiety disorders, particularly phobias and post-traumatic stress disorder (PTSD), and involves gradually exposing individuals to their feared situations or memories to reduce anxiety.

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Correct Answer is C

Explanation

The correct answer is Choice C.

Choice A rationale: This response is not appropriate as rating a mood as 9 indicates a very high mood, possibly hypomania or mania, rather than stability.

Choice B rationale: This response incorrectly interprets the client's rating. A 9 indicates a high mood, not a low one.

Choice C rationale: Asking the client to explain why they rated their mood so high allows the nurse to gather more information about the client's current state and any possible symptoms of mania.

Choice D rationale: This response is incorrect as a mood rating of 9 indicates a high mood, not depression.

A. Antidepressants should always be used in combination with mood stabilizers. B. Antidepressants can induce or worsen manic or hypomanic symptoms. C. Antidepressants are the primary treatment for acute manic episodes. D. Antidepressants have no potential for causing side effects.

Correct Answer is B

Explanation

Choice A rationale:

While mood stabilizers are often used in combination with antidepressants for individuals with bipolar disorder, it's not an absolute requirement that antidepressants always be used alongside mood stabilizers. The choice to combine these medications depends on the individual's specific presentation and needs.

Choice B rationale:

Antidepressants can induce or worsen manic or hypomanic symptoms in individuals with bipolar disorder. This phenomenon is known as "switching" and can lead to a rapid shift from a depressive state to a manic or hypomanic state. Therefore, careful consideration is needed when prescribing antidepressants to individuals with bipolar disorder to avoid triggering manic episodes.

Choice C rationale:

Antidepressants are not the primary treatment for acute manic episodes in bipolar disorder. Antipsychotic medications and mood stabilizers are more commonly used to address the manic symptoms and stabilize the individual's mood during such episodes.

Choice D rationale:

Antidepressants, like all medications, have the potential for causing side effects. They can lead to a range of adverse effects, including gastrointestinal symptoms, changes in sleep patterns, and sexual dysfunction, among others. Monitoring for and managing these potential side effects is important in providing comprehensive care to individuals taking antidepressants.

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A nurse is educating a group of nursing students about psychotherapeutic interventions for bipolar disorder. Select all the psychotherapeutic interventions that are commonly used for managing bipolar disorder.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with bipolar disorder rates their mood as 9 on a scale of 1 to 10, where 1 is the lowest and 10 is the highest. What could the nurse say to the client in this situation?

Correct Answer is C

Explanation

A client with bipolar disorder is prescribed an antidepressant medication as part of their treatment plan. Which of the following is an important consideration when administering antidepressants to individuals with bipolar disorder?

Correct Answer is B

Explanation

A nurse is educating a group of nursing students about psychotherapeutic interventions for bipolar disorder. Select all the psychotherapeutic interventions that are commonly used for managing bipolar disorder.

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 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 prescribed a medication to reduce psychotic symptoms during manic episodes. Which class of medications is commonly used for this purpose?

A nurse is assessing a client who is exhibiting symptoms of a manic episode. The client states, "I am the most important person in the world, and I have unique abilities that no one else possesses." What is the appropriate nursing response?

(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).

A client with bipolar disorder is experiencing a mixed mood state. What aspects of the assessment should the nurse prioritize in this situation? Select all that apply:

A nurse is developing a care plan for a patient with MDD. What is the primary goal of establishing a therapeutic nurse-patient relationship in this context?