A client who has bipolar disorder is experiencing mania. Which of the following interventions should the nurse implement?

Encourage group therapy participation

Provide high-calorie finger foods

Allow the client to lead a unit meeting

Discourage any physical activity to prevent exhaustion

Answer and Explanation

The Correct Answer is B

A. Encourage group therapy participation: While group therapy can be beneficial, during a manic episode, clients may struggle to engage effectively due to their heightened energy levels and impulsivity. Individual interventions are typically more appropriate at this stage.
B. Provide high-calorie finger foods: During a manic episode, clients often have increased energy expenditure and may neglect their nutritional needs. Providing high-calorie finger foods ensures that the client receives adequate nutrition without requiring them to sit down for a formal meal, accommodating their high activity level and potential lack of focus.
C. Allow the client to lead a unit meeting: Allowing a client in a manic state to lead a meeting could exacerbate their manic behavior, leading to disruptions and further challenges in managing their condition. It is essential to maintain structure and limit opportunities for impulsive actions during this time.
D. Discourage any physical activity to prevent exhaustion: While it's important to monitor for signs of exhaustion, completely discouraging physical activity is not appropriate. Encouraging some level of physical activity can help channel the client's energy positively, but it should be carefully monitored to prevent overstimulation or fatigue.

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Correct Answer is D

Explanation

A. Antisocial personality disorder: Individuals with antisocial personality disorder typically exhibit a disregard for the rights of others and may engage in manipulative or harmful behaviors. They do not generally display a need for constant reassurance or difficulty making decisions for themselves.
B. Avoidant personality disorder: While individuals with avoidant personality disorder often experience anxiety in social situations and may fear criticism or rejection, they are capable of making decisions. Their behavior is more characterized by avoidance and fear of social interactions rather than a dependency on others for decision-making.
C. Schizoid personality disorder: Individuals with schizoid personality disorder tend to be emotionally detached and have a limited range of emotional expression. They often prefer solitary activities and do not seek out close relationships, which does not align with the need for constant reassurance or decision-making support.
D. Dependent personality disorder: This disorder is characterized by a pervasive and excessive need to be taken care of, leading to submissive and clinging behaviors. Clients with dependent personality disorder often struggle to make decisions independently and require constant reassurance from others, making this the correct identification of the client's manifestations.

A. To ensure the client participates in a walk with staff on a daily basis B. To keep the client's environment calm and with minimal daily stimuli C. To develop and acknowledge understanding of a relapse plan prior to discharge D. To be reoriented to their current environment as needed

Correct Answer is C

Explanation

A. To ensure the client participates in a walk with staff on a daily basis: While regular physical activity can be beneficial, this goal focuses more on physical activity rather than addressing the underlying issues related to medication adherence and relapse prevention.
B. To keep the client's environment calm and with minimal daily stimuli: Creating a calm environment can help manage symptoms, but it is a more immediate concern rather than a long-term goal focused on the client's overall management and understanding of their condition.
C. To develop and acknowledge understanding of a relapse plan prior to discharge: This goal is crucial for the client's long-term recovery and management of their condition. By understanding their relapse plan, the client can identify triggers, recognize early warning signs of relapse, and engage in proactive strategies to maintain their mental health after discharge.
D. To be reoriented to their current environment as needed: While reorientation may be necessary for managing acute symptoms, it does not address long-term strategies for preventing relapse or promoting the client's overall well-being. This goal is more focused on immediate needs rather than long-term outcomes.

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A client who has bipolar disorder is experiencing mania. Which of the following interventions should the nurse implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is unable to make any decisions for themself and needs constant reassurance. The nurse should identify that these are manifestations of which of the following personality disorders?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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