A client diagnosed with bipolar I disorder is in a manic state, rushing about the unit, and talking regularly with a flight of ideas. What is the most therapeutic intervention?

Have the client go to his room until calm.

Politely ask the client to stop talking.

Speak slowly and in a quiet voice to help the client focus.

Encourage the client to talk more so you can determine what he is thinking.

Answer and Explanation

The Correct Answer is C

A) Incorrect. Isolating the client in his room may escalate the situation or make the client feel isolated and misunderstood.

B) Incorrect. Asking the client to stop talking may be perceived as confrontational and could potentially agitate the client further.

C) Correct. Speaking slowly and in a quiet voice can help the client focus and may reduce the flight of ideas. This calm approach can be grounding for the client.

D) Incorrect. Encouraging the client to talk more may exacerbate the flight of ideas and the manic state.

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Correct Answer is D

Explanation

A. This statement may cause unnecessary distress to the client and is not necessarily true in this situation.
B. While the confusion may be temporary, this statement may not provide enough reassurance or information.
C. This statement may not be accurate or helpful in addressing the client's concerns about confusion.
D. This statement provides reassurance and offers a positive outlook, indicating that the confusion is likely to improve as the client's condition gets better.

A. Loss of appetite B. Insomnia C. Emotional lability D. Anxiety

Correct Answer is C

Explanation

A. Loss of appetite can be a symptom of PMDD, but it is not the primary manifestation.
B. Insomnia can be a symptom of PMDD, but it is not the primary manifestation.
C. Emotional lability, or rapid and intense mood swings, is a primary manifestation of PMDD.
D. Anxiety can be a symptom of PMDD, but it is not the primary manifestation.

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A client diagnosed with bipolar I disorder is in a manic state, rushing about the unit, and talking regularly with a flight of ideas. What is the most therapeutic intervention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is C

Explanation

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