Psychiatric Medications Q 28



Nurse Gina is aware that the dietary implications for a client in manic phase of bipolar disorder is:
  
     A. Serve the client a bowl of soup, buttered French bread, and apple slices.
     B. Increase calories, decrease fat and decrease protein.
     C. Give the client pieces of cut-up steak, carrots, and an apple.
     D. Increase calories, carbohydrates, and protein.
    
    

Correct Answer: D. Increase calories, carbohydrates, and protein.

This client increased protein for tissue building and increased calories to replace what is burned up (usually via carbohydrates). Eating a balance of protective, nutrient-dense foods. These foods include fresh fruits, vegetables, legumes, whole grains, lean meats, cold-water fish, eggs, low-fat dairy, soy products, and nuts and seeds. These foods provide the levels of nutrients necessary to maintain good health and prevent disease, in general.

Option A: In addition to lowering caffeine, it’s important to avoid high-fat meals with some bipolar medications. High-fat meals may delay the time it takes for some bipolar medications to be absorbed into your system.
Option B: Watching caloric intake and exercising regularly to maintain a healthy weight. Some findings show that those with bipolar disorder may have a greater risk for being overweight or obese.
Option C: Decreasing environmental stimulation may assist the client to relax; the nurse must provide a quiet environment without noise, television, and other distractions; finger foods or things the client can eat while moving around are the best options to improve nutrition.