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
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Social worker: Referring the client to a social worker is appropriate in this situation, as social workers are trained to assist clients with housing issues and connect them to community resources. They can help the client find stable housing, navigate social services, and access additional support needed for successful reintegration into the community.
B. Psychiatrist: While a psychiatrist is essential for managing the client's medication and mental health treatment, they are not specifically focused on addressing housing needs. This referral would not directly assist the client with their immediate concern about housing.
C. Employment assistance: While employment assistance may be beneficial for the client's long-term stability, it does not address the more immediate issue of finding a place to live. The priority should be securing housing before focusing on employment.
D. Spiritual advisor: While a spiritual advisor may provide emotional and spiritual support, they are not equipped to address practical needs like housing. This referral would not directly assist the client with their current situation regarding homelessness.
Correct Answer is A
Explanation
A. Interpersonal therapy: This type of therapy focuses on improving interpersonal relationships and social functioning, which is beneficial for clients with avoidant personality disorder. It helps individuals address their fears of rejection and develop healthier social interactions, making it a suitable therapeutic approach for this client.
B. Antidepressant medications: While antidepressants may be prescribed to help alleviate symptoms of anxiety or depression often associated with avoidant personality disorder, they do not specifically target the underlying interpersonal issues. Medication alone is not considered a primary treatment for this personality disorder.
C. Dialectical behavior therapy: Dialectical behavior therapy (DBT) is primarily designed for individuals with borderline personality disorder and focuses on emotion regulation and interpersonal effectiveness. While it may benefit some clients, it is not the first-line therapy for avoidant personality disorder.
D. Antipsychotic medications: Antipsychotic medications are generally not indicated for avoidant personality disorder, as the disorder does not typically involve psychotic symptoms. These medications are more appropriate for conditions like schizophrenia or severe mood disorders and do not address the core features of avoidant personality disorder.
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