A family describes a client diagnosed with bipolar disorder as being "on the move." The client sleeps 3-4 hours nightly, spends excessively, and has recently lost 10 pounds. During the initial client assessment, which response would the nurse expect?

Short, polite responses to interview questions

Introspection related to present situation

Feelings of helplessness and hopelessness

Disorganized thinking and the inability to remain seated.

Answer and Explanation

The Correct Answer is D

D. Mania is characterized by symptoms such as increased energy levels, decreased need for sleep, impulsivity, racing thoughts, and agitation. Disorganized thinking, rapid speech, and an inability to remain seated are common manifestations of manic symptoms.
A. Clients in a manic episode often exhibit rapid speech, tangential thinking, and may be overly talkative rather than providing short, polite responses.
B. Manic individuals typically exhibit heightened energy levels, impulsivity, and distractibility, making it challenging for them to engage in introspection or focus on the present situation. Instead, they may be preoccupied with grandiose ideas, racing thoughts, or engaging in excessive activities.
C. This response is more characteristic of individuals experiencing depressive episodes of bipolar disorder rather than manic episodes. During a depressive episode, individuals with bipolar disorder may experience profound feelings of sadness, hopelessness, and helplessness, along with symptoms such as fatigue, changes in appetite or weight, and sleep disturbances.

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Correct Answer is B

Explanation

B. It's essential for the client to receive accurate information about their safety, efficacy, and potential interactions with other medications. Health food store employees may not always have the necessary expertise to provide comprehensive information on these aspects.
A. Yoga can indeed improve flexibility and balance, which can be beneficial for individuals with osteoarthritis. Therefore, this choice does not indicate a need for client teaching.
C. Glucosamine helps with pain control and bone remodeling to improve overall functionality.
D. Prayer and spirituality can provide emotional support and improve overall well-being, they may not directly address the underlying physical symptoms of osteoarthritis. This may indicate a need for client teaching, as it may reflect the client's personal beliefs and coping strategies.

A. has a cell phone that is not working in the emergency department. B. is accompanied by a family member who will not let the client answer questions C. is from another state and says they are here on a long vacation. D. speaks another language and is in need of an interpreter to translate.

Correct Answer is B

Explanation

B. This is often a red flag that the client may not be free to act or speak on their own behalf, which is a common situation among victims of human trafficking.
A. A non-working cell phone alone may not be sufficient evidence to conclusively suspect human trafficking, as there could be various reasons for a phone not working.
C. Human traffickers often exploit victims by transporting them across state or international borders under false pretenses, such as offering a vacation or job opportunity. However, it's crucial to gather more information and assess the client's situation further before jumping to conclusions.
D. Language diversity is common in healthcare settings and may not always be indicative of trafficking.

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A family describes a client diagnosed with bipolar disorder as being "on the move." The client sleeps 3-4 hours nightly, spends excessively, and has recently lost 10 pounds. During the initial client assessment, which response would the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is admitting a client who has osteoarthritis. Which information obtained by the nurse indicates a need for client teaching? The client:

Correct Answer is B

Explanation

A nurse is providing care for a client who is malnourished and appears exhausted. What data would cause the nurse to suspect the client is a victim of human trafficking? The client :

Correct Answer is B

Explanation

The best action for the nurse to take with a 5-year-old who runs over to another child in the waiting room and slaps her is to:

The highest priority nursing action relative to the initial phase of alcohol withdrawal would be to:

The nurse believes that a client being admitted for a surgical procedure may have a drinking problem. Which screening tool should the nurse use to further evaluate this possibility?

The nurse is educating clients about recovery from alcohol abuse. Which statement indicates that learning has occurred?

During assessment, the nurse is most likely to find the attitude of the depressed client toward his illness to be:

When assessing a client diagnosed with narcissistic personality disorder, the nurse expects to identify which characteristic behavior?

The client asks the nurse about pet therapy. Which response by the nurse provides the client with accurate information? "Pet therapy:

The nurse is caring for a client who is experiencing mania. The client is pacing, cannot sit, and has pressured speech. Which meal will the nurse provide to best meet the nutritional needs of this client?