A nurse in an inpatient mental health facility is assisting with the care of a client who has bipolar disorder and is experiencing an acute manic episode. Which of the following actions should the nurse take?

Have the client participate in a group therapy session.

Recommend the client participate in a basketball game with other clients.

Encourage the client to ambulate around the unit.

Instruct the client to avoid napping during the day.

Answer and Explanation

The Correct Answer is C

A. Have the client participate in a group therapy session: Group therapy may be overwhelming and overstimulating for a client in an acute manic episode. Rapid speech, distractibility, and hyperactivity can make it difficult to engage appropriately, potentially increasing agitation rather than providing therapeutic benefit.

B. Recommend the client participate in a basketball game with other clients: High-intensity, competitive activities like basketball can increase stimulation and risk of injury for a client experiencing mania. Physical exertion in a structured, low-stimulation environment is safer than group sports.

C. Encourage the client to ambulate around the unit: Walking or ambulating provides a safe outlet for excess energy while maintaining supervision. Structured, low-stimulation physical activity helps reduce agitation, promotes safety, and supports self-regulation during manic episodes.

D. Instruct the client to avoid napping during the day: Sleep deprivation can exacerbate manic symptoms. Encouraging rest and allowing the client to nap when fatigued is safer and helps stabilize mood. Preventing sleep would be counterproductive in managing mania.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is A

Explanation

A. Take the newborn to the nursery before showering: Newborns require continuous supervision to prevent falls, choking, or accidental injury. Leaving a newborn unattended, even briefly, is unsafe. Taking the infant to the nursery or ensuring another responsible adult is present while the parent showers promotes safety.

B. Position the newborn prone for sleep: Placing a newborn prone (on the stomach) increases the risk of sudden infant death syndrome (SIDS). Safe sleep guidelines recommend placing infants on their backs in a flat, firm sleep surface to reduce SIDS risk.

C. Place the newborn on a strict feeding schedule: Newborns should be fed on demand, typically every 2–3 hours, based on hunger cues. Strict schedules can lead to inadequate nutrition, dehydration, or failure to thrive, this practice is not recommended for safety or growth.

D. Swaddle the newborn with their legs extended: Proper swaddling involves keeping the hips and legs flexed and slightly abducted to reduce the risk of hip dysplasia. Extending the legs during swaddling can harm hip development and is not considered safe practice.

A. Terbutaline B. Methylergonovine C. Magnesium sulfate D. Nifedipine

Correct Answer is B

Explanation

A. Terbutaline: Terbutaline is a beta-agonist used to relax the uterus in cases of preterm labor or to manage uterine hyperstimulation, which would worsen postpartum bleeding. It is contraindicated in postpartum hemorrhage because it inhibits uterine contractions needed to control bleeding.

B. Methylergonovine: Methylergonovine is a uterotonic medication that stimulates sustained uterine contractions, promoting uterine tone and helping to control postpartum hemorrhage. It is used when hemorrhage results from uterine atony and is contraindicated in clients with hypertension or preeclampsia due to vasoconstrictive effects.

C. Magnesium sulfate: Magnesium sulfate is used primarily for seizure prophylaxis in preeclampsia and for tocolysis in preterm labor. It relaxes smooth muscle, including the uterus, which would exacerbate postpartum bleeding rather than treat it.

D. Nifedipine: Nifedipine is a calcium channel blocker used as a tocolytic to inhibit preterm labor. It decreases uterine contractions and is therefore inappropriate for managing postpartum hemorrhage, as it would reduce uterine tone and increase bleeding risk.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse in an inpatient mental health facility is assisting with the care of a client who has bipolar disorder and is experiencing an acute manic episode. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching about safety with the parent of a newborn. Which of the following instructions should the nurse include?

Correct Answer is A

Explanation

A nurse is assisting in the care of a client who is experiencing a postpartum hemorrhage. Which of the following medications should the nurse plan to administer?

Correct Answer is B

Explanation

A nurse is assisting with the admission of an older adult client. Which of the following subjective findings suggests that the client may have cataracts?

A nurse on a mental health unit is discussing client rights with a group of coworkers. Which of the following statements should the nurse include?

A nurse is assisting with the admission of a client who has mononucleosis. Which of the following isolation precautions should the nurse initiate?

A nurse in the emergency department is assisting with the care of a client. For each assessment finding below, click to specify if the finding is consistent with appendicitis, diverticulitis, or celiac disease. Each finding may support more than 1 disease process.

A nurse is preparing to administer medication to a child through an enteral tube. Which of the following actions should the nurse take after administering the medication?

A nurse and an assistive personnel (AP) are caring for a client who requests a PRN pain medication. After the nurse administers the medication, which of the following tasks should the nurse assign to the AP?

A nurse is collecting data from an infant who is postoperative. Which of the following pain scales should the nurse use to evaluate the infant's pain level?