The plan of care for a patient in the manic state of bipolar disorder should include which intervention?

Touch the patient to provide reassurance.

Design activities that require the patient's concentration.

Invite the patient to lead a community meeting.

Provide a safe structured environment for the patient.

Answer and Explanation

The Correct Answer is D

Choice A reason: Touching a manic patient may escalate agitation due to hyperarousal from elevated dopamine and norepinephrine in the limbic system. Physical contact can overstimulate the amygdala, increasing irritability, making it an inappropriate intervention for mania management.

Choice B reason: Activities requiring concentration are unsuitable for mania, as elevated dopamine impairs prefrontal cortex focus, leading to distractibility. Structured, low-stimulation interventions are needed to calm limbic hyperactivity, not tasks that exacerbate cognitive overload in a manic state.

Choice C reason: Leading a meeting is inappropriate for a manic patient, as heightened dopamine and norepinephrine drive impulsivity and grandiosity, impairing leadership ability. This could worsen agitation via limbic overstimulation, making a structured environment a better choice.

Choice D reason: A safe, structured environment reduces stimuli, calming limbic hyperactivity driven by dopamine and norepinephrine excess in mania. This stabilizes the patient’s behavior, minimizes triggers, and supports prefrontal cortex regulation, promoting safety and effective management of manic symptoms.

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 ["100"]

Explanation

Step 1: Identify the total volume and infusion time.
Total volume = 1,000 mL
Infusion time = 10 hours
Result at step 1 = 1,000 mL ÷ 10 hours

Step 2: Calculate the infusion rate in mL/hr.
1,000 mL ÷ 10 hours = 100 mL/hr
Result at step 2 = 100 mL/hr

Step 3: Round to the nearest whole number.
100 mL/hr is already a whole number.
Result at step 3 = 100 mL/hr

A. Haloperidol (Haldol). B. Hydroxyzine (Vistaril). C. Valproate (Depakote). D. Lithium carbonate (Lithobid).

Correct Answer is A

Explanation

Choice A reason: Haloperidol, a typical antipsychotic, blocks dopamine D2 receptors in the mesolimbic pathway, rapidly reducing agitation and psychosis-driven aggression in schizophrenia. This addresses the acute delusional behavior and amygdala hyperactivity, making it the preferred choice for immediate control.

Choice B reason: Hydroxyzine, an antihistamine, reduces anxiety via histamine and mild anticholinergic effects but lacks antipsychotic properties. It cannot address dopamine-driven delusions or aggression in schizophrenia, making it ineffective for controlling acute psychotic agitation.

Choice C reason: Valproate stabilizes mood in bipolar disorder via GABA enhancement but is not indicated for acute psychotic aggression. Schizophrenia’s dopamine excess requires rapid receptor blockade, which valproate cannot provide, making it unsuitable for this scenario.

Choice D reason: Lithium stabilizes mood in bipolar disorder by modulating sodium channels and inositol, not acute psychosis. Schizophrenia’s mesolimbic dopamine hyperactivity requires antipsychotic intervention, making lithium ineffective for controlling delusional aggression in this acute situation.

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

The plan of care for a patient in the manic state of bipolar disorder should include which intervention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer dextrose 5% in water (D5W) 1,000 mL IV to infuse over 10 hours. The nurse should set the IV infusion pump to deliver how many mL/hr? (Round to the nearest whole number.)

Correct Answer is ["100"]

Explanation

A client on an inpatient psychiatric unit yells "My roommate is Satan's crafty minion" and attempts to strangle him. The patient is refusing redirection. What medication should the nurse expect the on-call provider to order?

Correct Answer is A

Explanation

A nurse provided medication education for a patient diagnosed with major depressive disorder who began a new prescription for phenelzine (Nardil). Which behavior indicates effective learning? The patient:

A patient diagnosed with bipolar disorder has rapidly changing mood cycles. The health care provider prescribes an anticonvulsant medication. Which drug should the nurse anticipate will be prescribed?

A nurse is preparing to administer methylprednisolone 10 mg IV bolus. The amount available from the pharmacy is 40 mg/mL. How many mL should the nurse administer? (Round to the nearest tenth.)

Which finding indicates the successful completion of an individual’s grieving process?

Which central nervous system structure is associated with anger and aggression?

Positive symptoms seen in schizophrenia are believed to be a result of which type of neurological dysfunction?

A client is suspected to have dissociative identity disorder. Which characteristic does the nurse identify that the disturbed personal identity is most likely related to?

A nurse is conducting a visit to a client who is receiving palliative care at home for dying. The client’s husband tells the nurse, "I know she needs to be with God. That is the best place for her now." The client is experiencing which stage of Kubler-Ross’ stages of grieving?