A client is diagnosed with bipolar disorder and admitted to an inpatient psychiatric unit. Which is the priority outcome for this client?

The client will remain safe throughout hospitalization.

The client will accomplish activities of daily living independently by discharge

The client will use problem-solving to cope adequately after discharge.

The client will verbalize feelings during group sessions by discharge

Answer and Explanation

The Correct Answer is A

While all the outcomes are important in the overall care of a client with bipolar disorder, the safety of the client takes precedence, especially during the acute phase of the disorder. Bipolar disorder is characterized by mood swings that can include episodes of mania, which may involve risky behaviors or even thoughts of self-harm.
A. The client will remain safe throughout hospitalization: This is the priority outcome. Ensuring the safety of the client during hospitalization involves monitoring for any signs of self-harm or harm to others, managing any acute manic or depressive symptoms, and providing a secure environment.

B. The client will accomplish activities of daily living independently by discharge: While independence in activities of daily living is a valuable outcome, it may not be the immediate priority during the acute phase of bipolar disorder. Addressing safety and stabilization come first.

C. The client will use problem-solving to cope adequately after discharge: Coping skills are important for long-term management, but ensuring safety and stabilization during the hospitalization phase takes precedence. Coping skills can be addressed as part of the overall treatment plan.

D. The client will verbalize feelings during group sessions by discharge: Expression of feelings is an important aspect of mental health treatment, but safety and stabilization remain the priority, especially during the acute phase of bipolar disorder.

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Correct Answer is A

Explanation

A. Self-destructive behavior despite alternative interventions: Mechanical restraints may be considered when a client poses an immediate risk of harm to themselves, and alternative interventions have been ineffective or are not feasible.

B. Discipline for throwing objects at staff: Mechanical restraints are not appropriate as a form of discipline. Restraints should only be used when there is an imminent risk of harm to the client or others.

C. Punishment for verbally abusing other clients: The use of restraints as a form of punishment is not ethical or appropriate. Restraints should be employed solely to prevent harm, not as a disciplinary measure.

D. Coercion to take prescribed medications: Coercion to take medications is not a valid reason for using mechanical restraints. Alternative approaches, such as therapeutic communication or discussing the need for medications with the client, should be explored.

A. The nurse shuffles through papers to determine the facility policy on length of group. B. The nurse mandates that all group members reveal an embarrassing personal situation. C. The nurse asks for a show of hands to determine group topic preference D. The nurse sits silently as the group members stray from the assigned topic

Correct Answer is D

Explanation

A. "The nurse shuffles through papers to determine the facility policy on length of group": This action suggests the nurse is seeking information to guide the group effectively, indicating an active leadership role rather than a laissez-faire style.

B. "The nurse mandates that all group members reveal an embarrassing personal situation": This action involves imposing a specific requirement on group members, which is not characteristic of a laissez-faire leadership style. It's more indicative of an authoritarian or directive approach.

C. "The nurse asks for a show of hands to determine group topic preference": Seeking input from group members is a participative leadership style rather than laissez-faire. Laissez-faire leadership involves minimal interference or direction from the leader.

D. "The nurse sits silently as the group members stray from the assigned topic": This action aligns with a laissez-faire leadership style, as the nurse is allowing the group to proceed without intervention or redirection, even if it means straying from the assigned topic.

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A client is diagnosed with bipolar disorder and admitted to an inpatient psychiatric unit. Which is the priority outcome for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is discussing the use of mechanical restraints with a newly licensed nurse. Which of the following situations should the nurse include as an indication for placing a client in mechanical restraints?

Correct Answer is A

Explanation

During a therapeutic group, which nursing action demonstrates a laissez-faire leadership style?

Correct Answer is D

Explanation

A client diagnosed with borderline personality disorder brings up a conflict with the staff in a community meeting and develops a following of clients who unreasonably demand modification of unit rules. How can the nursing staff best handle this situation?

A nurse is completing an assessment of a client. Which of the following information should the nurse anticipate the provider will use in the diagnosis of a mental health disorder?

A nurse is planning care for a client who has paranoid schizophrenia. Which of the following interventions should be included in the plan of care?

Within the nurse's scope of practice, which function is exclusive to the advanced practice psychiatric nurse?

A nurse learns at report that a newly admitted client experiencing mania is demonstrating grandiose delusions. The nurse should recognize which client statement would provide supportive evidence of this symptom?

When working with individuals who have a personality disorder. The nurse is aware of the importance of incorporating which nursing measures. (Select all that apply).

A client is diagnosed with schizophrenia. A physician orders haloperidol (Haldol), 50 mg bid: benztropine (Cogentin), 1 mg prn: and zolpidem (Ambien). 10 mg HS. Which client behavior would warrant the nurse to administer benztropine?

A nurse is teaching about sources of psychological stress to a group of newly licensed nurses. The nurse should identify which of the following qualifies as a source of psychological distress?