Expected Findings
Medications
Nursing Interventions
Safety Considerations
100

Patient is speaking rapidly with a sense of urgency.

What is manic stage?

100

0.6-1.2 mEq/L

What is the therapeutic range of lithium.

100

Determine if the patient is a danger to themself or others. 

What is the nurses priority? 

100

Genetics, environmental stress, physiological.

What are risk factors for developing bipolar disorder?

200

Flat, blunted, lack of energy, tearful.

What are characteristics of a manic episode?

200

Valproic acid

What anticonvulsant can be safely administered with lithium?

200

The chance to learn from the experiences of other individuals.

What is group therapy.

200

Designated person that remains with a patient that is a threat to themself or others.

What is a sitter? 

300

Patient reports sleeping 2 to 3 hours a night.

What is a manic state?

300

chlorpromazine and loxapine

What are first-generation antipsychotics.

300

Chicken nuggets, crackers with a cheese stick, and a cookie. 

What food should a nurse provide with a patient experiencing an acute manic episode. 

300

Physiological, safety, love/belonging, esteem, self-actualization

What is Maslow's Hierarchy of needs? 

400

Lack of interest in almost all activities

What is a depressive characteristic?

400

This drug is effective in about 75% of people with bipolar disorder.  

What is lithium?

400

Calm, specific approach

What is therapeutic communication?

400

Blurry vision, ataxia, clonic twitching, severe hypotension, and polyuria.

Lithium toxicity

500

Persistent hypomanic and depressive symptoms that are not intense enough or do not last long enough to qualify as hypomanic or depressive episodes.

What is Cyclothymic Disorder

500

Also known as divalproex sodium or sodium valproate, is an anticonvulsant used for simple absence and mixed seizures, migraine prophylaxis, and mania.

What is Valproic acid (Depakote)?

500

Helps the patient deal with distorted thought processes. 

What is cognitive behavioral therapy (CBT)?

500

Cardia arrhythmia

What is a complication of electroconvulsive therapy (ECT)?