A nurse is assessing a client who has been admitted with a diagnosis of bipolar disorder, manic episode. Which of the following behaviors would the nurse expect to observe?
Decreased appetite and weight loss
Increased energy and activity level
Social withdrawal and isolation
Low self-esteem and hopelessness
The Correct Answer is B
Rationale: A client with bipolar disorder, manic episode, typically exhibits increased energy and activity level, along with other symptoms such as euphoria, grandiosity, impulsivity, distractibility, and pressured speech.
Incorrect options:
A) Decreased appetite and weight loss - These are more likely to be seen in a client with bipolar disorder, depressive episode, or another mood disorder such as major depressive disorder.
C) Social withdrawal and isolation - These are also more indicative of a depressive episode or another mood disorder that affects the client's interest and motivation to interact with others.
D) Low self-esteem and hopelessness - These are signs of negative self-evaluation and pessimism that are common in depressive disorders, not manic episodes.
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Related Questions
Correct Answer is D
Explanation
Correct answer: D) Validate the client's feelings and perceptions without reinforcing the hallucinations
Rationale: The nurse should acknowledge the client's feelings and perceptions without agreeing or disagreeing with the content of the hallucinations. This helps to establish trust and rapport with the client, as well as reduce anxiety and fear. The nurse should also help the client identify triggers and coping strategies for managing the hallucinations.
Incorrect options:
A) Ask the client to describe the content and tone of the hallucinations - This may increase the client's attention and response to the hallucinations, as well as reinforce their reality. The nurse should avoid focusing on the details of the hallucinations unless they pose a risk of harm to self or others.
B) Tell the client to ignore the hallucinations and focus on reality - This may invalidate the client's experience and make them feel misunderstood or rejected. The nurse should not dismiss or challenge the client's hallucinations, as this may increase their defensiveness and resistance.
C) Distract the client with music, games, or other activities - This may be helpful in some situations, but it is not a therapeutic communication technique. The nurse should not use distraction as a substitute for addressing the underlying issues or exploring the meaning of the hallucinations.
Correct Answer is D
Explanation
Correct answer: D) All of the above
Rationale: The nurse should use a combination of strategies to facilitate the client's participation in the group therapy session. Asking open-ended questions can help the client express their opinions and perspectives, as well as stimulate the group dialogue. Using silence can provide the client with a safe and nonjudgmental space to reflect and communicate at their own pace. Giving positive feedback to other clients can reinforce their engagement and motivation, as well as model appropriate social skills and behaviors for the quiet client.
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