Symptoms of Mania
A patient rapidly jumps from one topic to another because their thoughts are moving too quickly. What symptom is this?
Flight of ideas
The most widely recognized medication for mania
Lithium
When communicating with a manic patient, nurses should use this approach to maintain control and avoid escalating the patient's behavior.
Use firm, calm approach
A patient with mania is constantly moving around and pacing. The nurse wants to prevent falls and injuries. What is the priority?
A patient believes they are extremely powerful, wealthy, or more important than others. What manic symptom does this describe?
Inflated self-esteem or grandiosity
Drug class that is an alternative to Lithium
Anticonvulsants/antipsychotics
A patient experiencing mania becomes argumentative and refuses to follow directions. The nurse should avoid this type of interaction to prevent escalating the situation.
Engage in a power struggle
A patient with acute mania has been awake for several nights and has little interest in eating. The nurse should monitor these two basic physiological needs.
Adequate nutrition and sleep
A patient with bipolar I disorder progresses from being energetic and overly talkative to becoming extremely hyperactive, disorganized, and potentially experiencing psychosis. What are the three stages of mania in order of increasing severity?
Hypomania, acute mania, delirious mania
Patients taking lithium should maintain consistent intake of this substance to prevent lithium levels from becoming dangerously elevated.
A patient with Bipolar I disorder is prescribed lithium. This nursing intervention is essential to monitor for medication toxicity and ensure patient safety.
Monitor lithium blood levels and assess for signs of toxicity
A patient is making reckless decisions and putting themselves in dangerous situations. What should the nurse protect the patient from?
Harm to themselves and others