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 : A,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

Choice A rationale:

Dairy products, in general, do not have a significant interaction with TCAs (Tricyclic Antidepressants). The concern with dairy products is usually related to their interaction with certain antibiotics. Therefore, avoiding dairy products is not necessary for someone taking TCAs.

Choice B rationale:

Fresh fruits do not have a notable interaction with TCAs. In fact, a diet rich in fresh fruits can be beneficial for overall health. There is no need to advise avoiding fresh fruits due to TCA use.

Choice C rationale:

(Correct Choice) Aged cheese should be avoided when taking TCAs. Aged cheeses, such as cheddar, blue cheese, and parmesan, contain tyramine, which can lead to a hypertensive crisis when consumed along with TCAs. This interaction is a result of the monoamine oxidase inhibitory effects of TCAs, which can lead to elevated levels of tyramine in the bloodstream.

Choice D rationale:

Leafy vegetables do not have a significant interaction with TCAs. Leafy vegetables are generally considered healthy and are not contraindicated when taking these medications. Therefore, there is no need for the client to avoid leafy vegetables due to TCA use.

A. Coherence, logic, relevance, and organization. B. Flight of ideas, racing thoughts, and tangentiality. C. Themes, topics, beliefs, and perceptions. D. Signs of delusions, hallucinations, paranoia.

Correct Answer is B

Explanation

Choice A rationale:

Coherence, logic, relevance, and organization. Rationale: This choice is related to assessing the thought process, but it does not accurately address the specific signs described in the scenario: flight of ideas, racing thoughts, and tangentiality. These are characteristic features of a manic or hypomanic episode in bipolar disorder and involve a rapid flow of thoughts, lack of focus, and difficulty maintaining a coherent and organized thought process.

Choice B rationale:

Flight of ideas, racing thoughts, and tangentiality. Rationale: This statement is correct. Flight of ideas, racing thoughts, and tangentiality are indicative of disorganized thought processes commonly seen in manic episodes of bipolar disorder. Flight of ideas refers to a rapid succession of thoughts that may be loosely connected. Racing thoughts involve a constant stream of rapid thoughts, often making it difficult for the individual to concentrate. Tangentiality refers to veering off-topic during conversation and difficulty sticking to the main point.

Choice C rationale:

Themes, topics, beliefs, and perceptions. Rationale: While understanding themes, topics, beliefs, and perceptions is important in a comprehensive psychiatric assessment, this choice does not address the specific signs of disorganized thought processes mentioned in the scenario. Themes and beliefs might be explored during a broader assessment, but flight of ideas, racing thoughts, and tangentiality are more indicative of the manic phase in bipolar disorder.

Choice D rationale:

Signs of delusions, hallucinations, paranoia. Rationale: Delusions, hallucinations, and paranoia are important aspects to assess in individuals with bipolar disorder, but they are not directly related to the disorganized thought processes described in the scenario. Delusions are false beliefs, hallucinations involve sensory perceptions without external stimuli, and paranoia is excessive distrust or suspicion. These symptoms are more characteristic of psychotic disorders or severe mood episodes but are not specific to the described thought process.

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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 MDD is prescribed a TCA antidepressant. The nurse should teach the client to avoid which type of foods or beverages due to their potential interaction with TCAs?

Correct Answer is C

Explanation

A nurse is assessing a patient with bipolar disorder. The nurse observes signs of psychomotor agitation, racing thoughts, and tangentiality. What should the nurse document about the patient's thought process?

Correct Answer is B

Explanation

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A client with MDD tells the nurse, "I just can't see any way out of this. Life is hopeless." Which therapeutic response should the nurse provide?

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

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 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 client with MDD has been prescribed an SSRI antidepressant. The nurse should instruct the client to:

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