Examl 3:l NSGl 322/l NSG322l (Latestl 2025/l
2026l Update)l Behaviorall Healthl Nursingl Completel Guide|l Questionsl &l Answers|l Gradel A|l 100%l Correctl (Verifiedl Solutions)-l GCU
Q:l nursingl diagnosisl :l mania
Answer:
dependsl onl physicall symptomsl -riskl forl violence,l injury,l sleepl deprivation,l impairedl socializationl orl selfl care -addressl physiologicall needsl likel exhaustion,l nutrition,l fluidl status,l injury >bcl whenl thel clientl isl manicl theyl havel nol awarenessl forl theirl needl tol sleep,l eat,l hydrate,l theyl mayl notl feell painl orl ignorel injuries
**physicall needsl takel priority
Q:l planning:l bipolar
Answer:
ACUTE occursl whenl theyl havel uncontrolledl symptomsl andl moodl fluctuationl -medicall stabilizationl andl safety -hospitalized -increasel fluidsl andl nutrition,l decreasel physicall activity,l restl forl 4-6l hrsl al night -considerl restraints,l seclusion,l electroconvulsivel therapy
CONTINUATION
-initiall responsel tol therapyl andl medication -6l tol 12l months
MAINTENANCE
-outpatient,l longl terml recovery -managingl medicationsl andl functioning -preventingl relapse -focusl onl relationshipl andl workl recovery -probleml solvingl 1 / 3
-supportl systemsl ****duringl thel maintenancel phasel youl canl decreasel tol dosagel ofl meducatoins
Q:l planning:l mania
Answer:
ACUTE
-hospitalization:l placel externall controlsl ifl needed
-safe,l controlled,l supervisedl environmentl tol startl theml onl medications >highestl priority:l startingl theml onl lithium,l frequentl labsl tol determinel therapeuticl levell -physiologicall needs:l offerl fingerl food,l promotel rest/sleep,l providel outletsl forl theirl excessl energy >canl givel theml sleepl medsl -structuredl environmentl tol preventl injury -whenl theyl arel stablel beginl dischargel planningl forl followl upl appointments,l medl adherence,l supportl groups,l outpatientl therapyl andl education
MAINTENANCE
-preventl relapse -medicationl adherence -outl patientl servicesl *ex.l patientl willl IDl 3l RFl forl acutel mania,l attendl supportl group,l IDl newl copingl skills
Q:l healthl teachingl andl promotion
Answer:
1.l teachl aboutl thel chronicl naturel ofl bipolar -theyl willl needl tol bel onl lifelongl meds 2.l teachl howl tol IDl andl preventl relapse -changesl inl sleepl patternl isl al commonl signl ofl relapse -prevent:l avoidingl caffeine/alc/drugs,l exercise,l eatingl meals,l gettingl goodl restl
3.l teachl aboutl medications:
-whol tol calll andl whenl -commonl SEl isl weightl gain,l metabolicl abnormalities,l increasel BP,l metabolicl syndrome,l cardiacl problems >howl tol managel andl reducel weight
4.l stressl coping:l groupl andl indivl therapy
Q:l manial interventions
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Answer:
-calml andl firml communication -tendl tol legitimatel complaints -stayl consistentl tol avoidl splitting -bel shortl andl concise -IDl clearl expectations -structuredl activity -observel forl s/sl ofl lithiuml toxicity -storel valuablesl inl al safe -redirectl energyl intol anl appropriatel outlet.l tol reducel activityl havel theml writel inl al journal -restraintsl orl medsl ***distractibilityl isl thel bestl thingl forl thel nursel tol usel **ifl clientl threatensl anotherl setl verball limitsl beforel precedingl tol morel restrictivel things SLEEP -encouragel frequentl restl periodsl throughoutl thel day -lowl stimulatingl environment
-night:l calml music,l warml bath,l meds,l nol caffeine
NUTRITION
-monitorl I&O -offerl frequentl highl call highl proteinl shakes,l fingerl food -remindl theml tol eatl
ELIMINATION
-offerl theml foodl andl drinkl highl inl fiber -assessl needl forl laxative -encouragel theml tol usel thel bathroom
HYGEINE
-encouragel appropriatel clothingl choices -givel stepl byl stepl instructions
Q:l pharmacologicl interventions
Answer:
-moodl stabilizersl (lithium)l arel mainl treatment
-anticonvulsants:l valproate,l carbamazepine,l lamotrigine
>lamotrigine:l notl usedl forl mania,l usedl forl maintenancel
-antipsychotics:l screenl forl metabolicl abnormalities
LITHIUM
-firstl linel treatment -antimanic/moodl stabilizerl -al saltl andl elementl onl periodicl table -FDAl approvedl forl manial andl bipolarl maintenance -needl tol monitorl labsl andl therapeuticl levelsl
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