Acute Mania Management Quiz

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Questions and Answers

What is a common challenge in taking a history from a client in the manic phase of bipolar disorder?

The client jumping from subject to subject (correct)
The client being unable to communicate
The client experiencing memory loss
The client being uncooperative

What is a characteristic of the general appearance and motor behavior of clients experiencing a manic episode?

Lethargy and stillness
Inability to speak or move
Slow and deliberate movements
Psychomotor agitation and perpetual motion (correct)

How do clients in the manic phase of bipolar disorder typically dress?

Conservatively and modestly
In dark, somber colors
Dull and unremarkable
Brightly colored, flamboyant, and attention-getting (correct)

What is a potential consequence of the continual movement experienced by clients in the manic phase?

Exhaustion and self-injury (C) Signup and view all the answers

How do clients experiencing a manic episode typically think, move, and talk?

Fast (B) Signup and view all the answers

What is a strategy for obtaining data from a client in the manic phase of bipolar disorder?

Obtaining data in several short sessions (A) Signup and view all the answers

What is a primary concern for manic clients?

Risk for violence (C) Signup and view all the answers

What is a common nursing diagnosis for manic clients?

Risk for violence (A) Signup and view all the answers

What is a key nursing intervention for manic clients?

Setting and maintaining limits on destructive behaviors (C) Signup and view all the answers

What is a goal for stabilization of manic clients?

Sustained concentration to function independently (D) Signup and view all the answers

What should nurses do to provide a sense of acceptance and reassurance to manic clients?

Spend time with the client (C) Signup and view all the answers

What should nurses evaluate regarding manic clients' tolerance?

Tolerance for group activities and interactions (A) Signup and view all the answers

Which symptom of mania involves rapid, uninterrupted speech and an inability to listen to others?

Pressured speech (D) Signup and view all the answers

What is a common manifestation of manic individuals' thought processes?

Racing thoughts and difficulty connecting concepts (D) Signup and view all the answers

What is a characteristic behavior of manic individuals regarding projects and planning?

Lacking true planning and insisting on the importance of activities (D) Signup and view all the answers

What may some manic individuals experience, involving grandiose delusions of importance, fame, privilege, and wealth?

Grandiose delusions (C) Signup and view all the answers

What is a common characteristic of manic individuals' emotions?

Fluctuating between euphoria and hostility (A) Signup and view all the answers

What is a significant impact of exaggerated self-esteem and a false sense of well-being on manic individuals?

Masking chronic low self-esteem (A) Signup and view all the answers

What is a crucial nursing intervention for managing clients with mania?

Setting clear limits and consistently enforcing them (B) Signup and view all the answers

How can nursing interventions assist in promoting rest and sleep for clients with mania?

Decreasing environmental stimulation and establishing bedtime routines (C) Signup and view all the answers

What is a concern for manic clients in terms of nutrition?

Providing high-calorie, protein-rich finger foods (C) Signup and view all the answers

What does therapeutic communication with manic clients involve?

Using clear, simple sentences and breaking information into small segments (D) Signup and view all the answers

What may acutely manic clients engage in due to their inflated perceptions of their abilities and impulsive thoughts?

Socially unacceptable and risky behaviors (C) Signup and view all the answers

How can the nurse channel the need for movement of manic clients into socially acceptable activities?

Arranging chairs for a community meeting or walking (D) Signup and view all the answers

What are some impulsive behaviors that clients with acute mania may exhibit?

Excessive spending, giving away possessions, and engaging in risky sexual behaviors (D) Signup and view all the answers

What is a crucial aspect of handling inappropriate behavior in clients with acute mania?

Handling in a nonjudgmental manner, maintaining dignity and respect (B) Signup and view all the answers

What is necessary for manic clients struggling to understand personal boundaries?

Staff intervention to redirect their behaviors (C) Signup and view all the answers

When may manic clients heed education about the dangers of risky behavior?

When they begin to cycle towards normalcy (D) Signup and view all the answers

What is a common behavior of manic clients regarding tasks and activities?

Starting multiple tasks simultaneously and struggling to complete any (D) Signup and view all the answers

What is essential for clients and family members regarding lithium medication?

Understanding potential drug interactions and recognizing symptoms of lithium toxicity (D) Signup and view all the answers

Study Notes

Managing Risky Behaviors in Clients with Acute Mania

In acute manic episodes, clients may exhibit impulsive behaviors such as excessive spending, giving away possessions, and engaging in risky sexual behaviors.
Nurses may need to monitor clients' access to items and handle inappropriate behavior in a nonjudgmental manner, maintaining dignity and respect.
Clients in the manic phase may struggle to understand personal boundaries, requiring staff intervention to redirect their behaviors.
Educating clients about the dangers of risky behavior is necessary, but they may not heed such teaching until they begin to cycle towards normalcy.
Manic clients often start multiple tasks simultaneously, struggle to complete any, and may engage in impulsive activities like spending sprees and risky investments.
Family education on the cause of bipolar disorder, medication management, and potential problems that manic people can encounter is essential.
Family members often recognize signs of manic behavior, such as becoming argumentative or denying any issues, indicating the need for interventions and family education sessions.
Clients taking lithium should adhere to the established dosage, understand potential drug interactions, and recognize symptoms of lithium toxicity.
Periodic monitoring of serum lithium levels is necessary to ensure the safety and adequacy of the treatment regimen.
Clients and family members should be educated about the signs of lithium toxicity and interventions to take, including seeking medical attention immediately.
Client and family education for mania should encompass bipolar illness management, medication management, recognizing signs of relapse, and avoiding risk-taking behavior.
Education reduces the stigma of mental illness, increases client safety, enlarges the support system, and promotes compliance with treatment.

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Description

Test your knowledge on managing risky behaviors in clients with acute mania with this quiz. Explore topics such as monitoring impulsive behaviors, educating clients and families, medication management, and recognizing signs of lithium toxicity. Sharpen your understanding of interventions and support systems for individuals experiencing acute manic episodes.