Question

The nurse is caring for a client hospitalized with bipolar disorder, manic phase. Which of the following snacks would be best for the client with mania? A. Potato chips B. Diet cola C. Apple D. Milkshake

Short answer

Answer: The best snack option for a client hospitalized with bipolar disorder, manic phase, is an apple, as it provides a nutrient-dense, balanced source of energy that will not exacerbate agitation and restlessness.

Step-by-step solution

Understand the nutritional needs of a client with mania

During the manic phase of bipolar disorder, a person may experience increased energy levels, agitation, and a decreased need for sleep. It is important for such clients to consume nutrient-dense, balanced meals and snacks to help manage their energy levels and maintain overall health.

Evaluate each snack option

Let's evaluate each of the given snack options based on their nutritional content and how they may impact a person experiencing mania: A. Potato chips - These are high in unhealthy fats and salt, making it a poor choice for a client with mania. B. Diet cola - This option is calorie-free and may contain artificial sweeteners, but it also contains caffeine, which could exacerbate agitation and make it harder for the client to sleep. C. Apple - A nutritious option, containing natural sugars, vitamins, and fiber to provide sustained energy. D. Milkshake - This option is high in calories & sugar, which could lead to a quick spike and crash in energy levels.

Choose the best snack

Considering the nutritional content and potential effects on a person experiencing mania, the best snack for the client hospitalized with bipolar disorder, manic phase is: C. Apple, which provides a nutrient-dense, balanced source of energy that will not exacerbate agitation and restlessness.

Key concepts

Nutritional Needs in Psychiatric Nursing

Navigating the field of psychiatric nursing requires an understanding of how nutrition impacts mental health. For individuals with psychiatric conditions, their nutritional needs are often more sophisticated than those without such conditions. In psychiatric nursing, it's essential to recognize that a well-balanced diet contributes significantly to mental health management. Nutrients like omega-3 fatty acids, vitamins, and minerals are critical for cognitive function and mood stabilization.

For patients with bipolar disorder, especially during the mania phase, regular meals and snacks of high nutritional value can aid in energy regulation and mood stabilization. Because these patients often experience increased energy levels and agitation, combined with decreased sleep, care must be taken to avoid foods that are high in refined sugars and caffeine. These can lead to mood swings and exacerbate symptoms. Instead, a focus on whole foods such as lean proteins, complex carbohydrates, and healthy fats is recommended to provide lasting energy and support overall well-being.

Mania Phase Snacks

While dealing with the manic phase of bipolar disorder, the selection of appropriate snacks plays a pivotal role in maintaining a patient's well-being. Quick energy sources that are nutrient-dense, like fruits and whole grains, are most beneficial.

To satisfy hunger without causing a spike in energy likely to increase mania, snacks should be rich in fiber and protein. An apple, as suggested in the exercise, is ideal as its natural sugars are balanced by fiber, leading to a gradual release of energy. This type of snack aids in preventing the rapid spikes and crashes in blood sugar levels which can affect mood stability.

Examples of Mania Phase Snacks

• Apple slices with almond butter
• Whole grain toast with avocado
• Greek yogurt with berries
• Nuts and seeds mix

These are all options that promote a sustained energy release, essential for managing symptoms of mania.

NCLEX-PN Practice Questions

Preparing for the NCLEX-PN exam involves a thorough understanding not just of clinical practices, but also of how to prioritize patient care, which includes nutritional management. Practice questions offer a crucial opportunity to apply theoretical knowledge to practical scenarios.

A typical NCLEX-PN practice question will present a patient scenario, in this case related to bipolar disorder and dietary considerations, and challenge the test-taker to apply critical thinking and knowledge. The goal is to choose the best course of action to support patient well-being.

Sample NCLEX-PN Exam Question on Nutrition

'A nurse is planning a menu for a patient who is in the manic phase of bipolar disorder. Which of the following should be included in the plan?' This type of question assesses the nurse's ability to align diet management with the symptomatology of the disorder, thus reinforcing the importance of nutrition in psychiatric care.