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. Paranoia: Paranoia is classified as a positive symptom of schizophrenia. It involves the presence of irrational fears and beliefs that others are plotting against the individual, which signifies an addition of abnormal thoughts or behaviors.
B. Distorted beliefs: Distorted beliefs, such as delusions, are also considered positive symptoms. They represent an alteration in thought processes and an addition of false beliefs that are not grounded in reality.
C. Confusion: Confusion may arise from various factors, including cognitive disturbances or acute psychotic episodes, but it is not classified as a negative symptom. It typically reflects disorganized thinking rather than a deficiency in emotional or behavioral responses.
D. Lack of emotions: A lack of emotions, also known as flat affect, is a clear example of a negative symptom of schizophrenia. Negative symptoms are characterized by a reduction or absence of normal emotional responses, which can impact the individual's ability to express feelings and engage socially.

A. Paranoid personality disorder B. Antisocial personality disorder C. Avoidant personality disorder D. Schizotypal personality disorder

Correct Answer is D

Explanation

A. Paranoid personality disorder: Individuals with paranoid personality disorder typically exhibit distrust and suspicion of others. They may have irrational beliefs about others' intentions but do not generally claim to have special abilities, such as mind-reading.
B. Antisocial personality disorder: Individuals with antisocial personality disorder tend to disregard the rights of others and may engage in manipulative or harmful behaviors. They do not typically exhibit symptoms like believing they can read minds, which is more aligned with perceptual disturbances.
C. Avoidant personality disorder: Individuals with avoidant personality disorder are characterized by feelings of inadequacy, hypersensitivity to negative evaluation, and social inhibition. They do not generally express delusional beliefs or claims of special abilities.
D. Schizotypal personality disorder: Individuals with schizotypal personality disorder often exhibit eccentric behavior, distorted thinking, and unusual beliefs. Claiming to be able to read minds fits within the realm of magical thinking and odd beliefs characteristic of this disorder.

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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 diagnosed with schizophrenia. Which of the following manifestations should the nurse identify as a negative symptom?

Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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