The nurse is concerned that a patient is moving into the manic phase of bipolar disorder when what is assessed?

1. Not sleeping
2. Losing weight
3. Sluggish activity
4. Complaints of muscle pain
5. Constant talking


Correct Answer: 1,2,5
Rationale: Decreased need for sleep is a symptom of the manic phase of bipolar disorder.

Nursing

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a. Obesity b. Hypotension c. Osteomalacia (softening of the bones) d. Coronary artery disease

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Careful assessment for changes in attitude and suicidal gestures should be monitored in a client taking which medication?

a. Lithium b. Ativan (lorazepam) c. Librium (chlordiazepoxide) d. Paxil (paroxetine)

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The hospital's risk management team has identified a hazard to patient safety through review of incident reports. What should be the team's next action?

1. Discipline staff who have been involved in previous incidents. 2. Eliminate the hazard before anyone else is harmed. 3. Identify and compensate any patient previously injured. 4. Gather and trend data on the occurrences.

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The nurse prepares a dietary plan for a patient who practices Orthodox Judaism and notes that no Jewish holidays are approaching. What choices does the nurse plan to exclude from the patient's menu?

a. Caffeinated tea b. Grilled cheese sandwich c. Milk products d. Lobster chowder

Nursing