A newly admitted client is experiencing a manic episode of ...

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A newly admitted client is experiencing a manic episode of bipolar I disorder and presents as very agitated. The nurse should assign which priority nursing diagnosis to this client?
 
  A. Ineffective individual coping R/T hospitalization AEB alcohol abuse
  B. Altered nutrition: less than body requirements R/T mania AEB 10-pound weight loss
  C. Risk for violence: directed toward others R/T agitation and hyperactivity
  D. Sleep pattern disturbance R/T flight of ideas AEB sleeps 1 to 2 hours per night

Question 2

A client is diagnosed with cyclothymic disorder. What client behaviors should the nurse expect to assess?
 
  A. The client expresses feeling blue most of the time.
  B. The client has endured periods of elation and dysphoria lasting for more than 2 years.
  C. The client fixates on hopelessness and thoughts of suicide continually.
  D. The client has labile moods with periods of acute mania.

[jazzlynnnnn]

Answer to Question 1

ANS: C
Some signs and symptoms of mania include manic excitement, delusional thinking, and hallucinations, which may predispose the client to aggressive behavior. Nurses should be alert to the risk for self or other directed violence and intervene immediately at the first signs of agitation or aggression.

Answer to Question 2

ANS: B
The essential feature of cyclothymic disorder is a chronic mood disturbance of at least 2 years' duration, involving numerous episodes of hypomania and depressed mood of insufficient severity or duration to meet the criteria for bipolar I or II disorder.

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TYSM