A charge nurse is admitting a client who has bipolar disorder and who is in the manic phase. Which of the following room assignments should the nurse give the client?
A private room across from the exercise room.
A semi-private room across from the snack area.
A semi-private room across from the day room.
A private room in a quiet location on the unit.
The Correct Answer is D
A. While exercise can be beneficial, a client in a manic phase may find it overstimulating, leading to increased agitation.
B. This option is not ideal as the client may be tempted to overeat or engage in impulsive behaviors related to food.
C. A day room is typically a high-traffic area with potential for noise and stimulation, which can exacerbate manic symptoms.
D. This is the best option for a client in the manic phase. A quiet environment can help reduce overstimulation, allowing for better management of symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D","F"]
Explanation
A. Meditation can be a valuable intervention for improving overall well-being, including physical health, by reducing stress and promoting relaxation. While its primary benefits are often psychological and emotional, reducing stress can also have positive effects on physical health, such as lowering blood pressure and improving heart health.
B. Suggesting relaxation techniques, such as deep breathing exercises, progressive muscle relaxation, or guided imagery, is a beneficial intervention. These techniques can help manage stress, lower blood pressure, and improve overall physical health. Incorporating relaxation methods can enhance the
client’s sense of well-being and support physical health by mitigating the effects of stress on the body.
C. Ensuring that the client has access to and can select a nutritious diet is a fundamental aspect of promoting physical well-being. A balanced and nutritious diet supports overall health, helps in maintaining a healthy weight, and provides essential nutrients for bodily functions.
D. Educating the client about recommended health screenings for their age is crucial for early detection and prevention of diseases. Regular screenings can help identify potential health issues before they become serious, contributing to better long-term physical health.
E. While maintaining relationships with family is important for emotional and psychological well-being, it is not a direct intervention specifically aimed at improving physical health. Social support and strong relationships can indirectly benefit physical health by reducing stress and improving overall quality of life, but this is not a direct physical health intervention.
F. Promoting physical activity is a direct and effective intervention for improving physical well-being. Regular exercise contributes to cardiovascular health, muscle strength, flexibility, and overall physical fitness. Encouraging clients to stay active supports their physical health and helps prevent or manage chronic conditions.
Correct Answer is B
Explanation
A. While assisting others is an important aspect of nursing care, it generally does not directly reflect the acuity of clients. Assisting colleagues might involve helping with tasks, offering support, or collaborating on care, but it is more related to teamwork and overall unit dynamics rather than directly indicating the complexity or intensity of care needed by individual clients.
B. Medication administration is a significant factor in determining client acuity. The complexity and frequency of medications, the need for monitoring and adjustments, and the administration of high-risk medications (e.g., anticoagulants, insulin) all contribute to the overall acuity level. High acuity clients often require more complex medication management, which demands more time and attention from nursing staff.
C. Meal breaks are a necessary part of a nurse’s schedule but are not related to client acuity. Meal breaks are periods of rest and are essential for maintaining the nurse’s well-being and productivity. However, they do not affect the level of care required by clients or the determination of client acuity.
D. Charting is a crucial component of nursing care that reflects the time spent documenting client information, assessments, and care provided. While charting is essential for legal documentation, communication, and continuity of care, it is not a direct indicator of client acuity.
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