A nurse at a community mental health center is caring for a client who has bipolar disorder. The nurse should recognize that which of the following statements is an indication that the client is in the manic phase?

"I was able to pay my bills last month, but this month, I fell behind."

"I've been crying a lot in the past 3 days because my cat died."

"I haven't been able to stop talking for the past couple of days."

"My family says I'm thinking clearly now that I'm taking my medication."

Answer and Explanation

The Correct Answer is C

A. "I was able to pay my bills last month, but this month, I fell behind.": Difficulty managing finances can indicate functional impairment, but it is nonspecific and could occur during depressive episodes or life stressors rather than mania.

B. "I've been crying a lot in the past 3 days because my cat died.": Persistent crying and sadness reflect depressive symptoms and situational grief rather than the elevated or irritable mood, increased energy, and hyperactivity seen in mania.

C. "I haven't been able to stop talking for the past couple of days.": Pressured speech and excessive talking are hallmark manifestations of the manic phase of bipolar disorder. This indicates heightened energy, distractibility, and reduced need for sleep associated with mania.

D. "My family says I'm thinking clearly now that I'm taking my medication.": Improved cognition and stability suggest effective management of symptoms, possibly after treatment for mania or depression, but it does not indicate current manic behavior.

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Free Nursing Study Resources

Correct Answer is {"A":{"answers":"C"},"B":{"answers":"C"},"C":{"answers":"B"},"D":{"answers":"C"},"E":{"answers":"C"}}

Explanation

• Physical findings: The presence of new ecchymosis on the neck two weeks later indicates continued or escalating physical abuse. This demonstrates that the client is at ongoing risk and that the situation has deteriorated compared to the initial left wrist fracture and forearm bruises.

• Client's feelings of responsibility: The client states, "I brought it on myself," reflecting self-blame. Self-blame is a common psychological response to partner violence that can prevent seeking help and perpetuate victimization, indicating a worsening of emotional and psychological well-being.

• Statement regarding safety: The client reports that the children are safe at home. This shows that, despite ongoing abuse, there is some aspect of the environment that remains secure, representing a relative improvement or protective factor in terms of immediate safety for dependents.

• Report of partner violence: The client continues to experience partner violence, evidenced by new bruising. Although the client may minimize the situation verbally, the physical evidence confirms that the abuse is ongoing and escalating, indicating a worsening situation.

• Emotional status:The client reports frequent mood swings and feelings of being "trapped," demonstrating emotional distress, anxiety, and potential depression. These psychological effects suggest a deterioration in mental health as a result of ongoing abuse.

A. "It can take several weeks before you notice an effect from the medication." B. "If a dose is missed, you can take the missed dose along with the next scheduled dose." C. "Avoid consuming large amounts of leafy, green vegetables while taking this medication." D. "This medication is known to cause dependence."

Correct Answer is A

Explanation

A. "It can take several weeks before you notice an effect from the medication.": Buspirone is an anxiolytic that requires consistent daily dosing, and its therapeutic effects may take 2–4 weeks to become noticeable. Educating the client about this delayed onset helps set realistic expectations and promotes adherence to the medication regimen.

B. "If a dose is missed, you can take the missed dose along with the next scheduled dose.": Doubling doses to make up for a missed dose can increase the risk of adverse effects and is not recommended. Clients should be instructed to skip the missed dose and resume the normal dosing schedule.

C. "Avoid consuming large amounts of leafy, green vegetables while taking this medication.": There are no dietary restrictions regarding leafy greens or vitamin K with buspirone. This instruction is unnecessary and unrelated to the medication’s pharmacology.

D. "This medication is known to cause dependence.": Unlike benzodiazepines, buspirone has a low potential for dependence or abuse. It is considered safe for long-term use in managing generalized anxiety disorder without significant risk of addiction.

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A nurse at a community mental health center is caring for a client who has bipolar disorder. The nurse should recognize that which of the following statements is an indication that the client is in the manic phase?

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Naxlex Comprehensive Predictor Exams

A nurse is assisting with the care of a client who has experienced partner violence. The nurse is collecting data from the client 2 weeks later. For each finding, click to specify whether the finding is unrelated, an improvement, or a worsening of the client's situation.

Correct Answer is {"A":{"answers":"C"},"B":{"answers":"C"},"C":{"answers":"B"},"D":{"answers":"C"},"E":{"answers":"C"}}

Explanation

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Correct Answer is A

Explanation

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