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Bipolar ATI REal Life 3.0

Bipolar ATI REal Life 3.0
Course

Mental Health (3872)

6 Documents
Students shared 6 documents in this course
Academic year: 2020/2021
Uploaded by:
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Tonia Laurine Lee
University of Arkansas
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Bipolar ATI Real Life RN Mental Health 3 Assignment

  1. What are 5 DSM-V diagnostic criteria for Bipolar I?

 A. Criteria have been met for at least one manic episode (Table 11). The manic episode may have been preceded by and may be followed by hypomanic or major depressive episodes (see Table 9). B. The occurrence of the manic and major depressive episode(s) is not better explained by schizoaffective disorder, schizophreniform disorder, delusional disorder, or other specified or unspecified schizophrenia spectrum and other psychotic disorder. Note: Major depressive episodes are common in bipolar I disorder but are not required for the diagnosis of bipolar I disorder. Note: Hypomanic episodes are common in bipolar I disorder but are not required for the diagnosis of bipolar I disorder. Specify:  With anxious distress  With mixed features  With rapid cycling  With melancholic features  With atypical features  With mood-congruent psychotic features  With mood-incongruent psychotic features  With catatonia  With peripartum onset  With seasonal pattern  Specify: Remission status if full criteria are not currently met for a manic, hypomanic, or major depressive episode.

  1. What is Nurse Ben’s appropriate response to Susan’s seductive behavior?

It is the expectation on this unit that there is no inappropriate physical contact, I need you to stop

  1. How many mls of olanzapine is correct? 2mL

  2. When she refuses the injection, what is Ben’s best response?

Explain that it will help and reson giving. If she still refuses call dr.

  1. What two organs are being evaluated as indicated in the labs?

Kidneys and Thyroid

  1. What is the concern about these body organs in relation to use of lithium?

Toxicity r/t Lithium-induced hypothyroidism and decreased kidney functions or failure

  1. Which is the most appropriate diet and why?

Bagel with cream cheese, cookie, milk, and fruit. High caloric finger foods that can be consume during movement.

  1. The clip about hand tremors in lithium toxicity is confusing. What are 4 signs of acute severe lithium toxicity?

 Ataxia  Blurred Vision  oliguria  slurred speech.  rapid heartbeat.

  1. If Ben had lithium in his hand ready to administer to Susan and he received report from lab that her serum lithium level is 1, what 3 things should he do?

 Stop and don’t give the lithium  Take vital signs  Call the Physician

Read the article linked below.  Treatment for acute lithium toxicity: journalbipolardisorders.springeropen/articles/10.1186/s40345-015-0040-

  1. What is the treatment for acute severe lithium toxicity?

 Levels usually fall rapidly without dose  No antidote  NG gastric lavage  Possible bowl irrigation  Although is @ 1 note that levels greater than 2 require hemodialysis

  1. When Susan is readmitted for depression and states she feels like she is in a “big dark hole”, what should Ben say to her?

Do you have a plan? Assess lethality.

  1. What is her score on the NGASR scale? 14
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Bipolar ATI REal Life 3.0

Course: Mental Health (3872)

6 Documents
Students shared 6 documents in this course

University: University of Arkansas

Was this document helpful?
Bipolar ATI Real Life RN Mental Health 3.0 Assignment
1. What are 5 DSM-V diagnostic criteria for Bipolar I?
A. Criteria have been met for at least one manic episode (Table 11). The manic episode
may have been preceded by and may be followed by hypomanic or major depressive
episodes (see Table 9).
B. The occurrence of the manic and major depressive episode(s) is not better explained
by schizoaffective disorder, schizophreniform disorder, delusional disorder, or other
specified or unspecified schizophrenia spectrum and other psychotic disorder.
Note: Major depressive episodes are common in bipolar I disorder but are not required
for the diagnosis of bipolar I disorder.
Note: Hypomanic episodes are common in bipolar I disorder but are not required for the
diagnosis of bipolar I disorder.
Specify:
With anxious distress
With mixed features
With rapid cycling
With melancholic features
With atypical features
With mood-congruent psychotic features
With mood-incongruent psychotic features
With catatonia
With peripartum onset
With seasonal pattern
Specify: Remission status if full criteria are not currently met for a manic, hypomanic, or
major depressive episode.
2. What is Nurse Ben’s appropriate response to Susan’s seductive behavior?
It is the expectation on this unit that there is no inappropriate physical contact, I need you to stop
3. How many mls of olanzapine is correct? 2mL
4. When she refuses the injection, what is Ben’s best response?
Explain that it will help and reson giving. If she still refuses call dr.
5. What two organs are being evaluated as indicated in the labs?
Kidneys and Thyroid
6. What is the concern about these body organs in relation to use of lithium?

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