Author Question: A patient with bipolar disorder is hyperactive after discontinuing lithium and has not slept for 3 ... (Read 37 times)

nmorano1 · **on:** Jul 19, 2018

A patient with bipolar disorder is hyperactive after discontinuing lithium and has not slept for 3 days. The patient threatens to hit another patient. Which comment by the nurse is appropriate?

a. Stop that No one did anything to provoke an attack by you.
b. If you do that one more time, you will be secluded immediately.
c. Do not hit anyone. If you are unable to control yourself, we will help you.
d. You know we will not let you hit anyone. Why do you continue this behavior?

Question 2

A person is directing traffic on a busy street and rapidly shouting, To work, you jerk, for perks, and making obscene gestures at cars.

The person has not slept or eaten for 3 days. Which assessment findings will have priority concern for this patient's plan of care?

a. Insulting, provocative behavior
b. Pressured speech and grandiosity
c. Hyperactivity; not eating and sleeping
d. Poor concentration and decision making

carojassy25 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: C
When the patient is unable to control his or her behavior and violates or threatens to violate the rights of others, limits must be set in an effort to de-escalate the situation. Limits should be set in simple, concrete terms. The first response does not offer appropriate assistance to the patient. The second response threatens the patient with seclusion as punishment. The fourth response asks a rhetorical question.

Answer to Question 2

ANS: C
Hyperactivity, poor nutrition, hydration, and not sleeping take priority in terms of the needs listed because they threaten the physical integrity of the patient. The other behaviors are less threatening to the patient's life.