A nurse is assessing a client who has bipolar disorder. Which of the following findings should the nurse identify as an indication that the client is experiencing acute mania?

Writes a detailed daily activity schedule

Isolates self from others

Reports a lack of sleep

Refuses to engage in conversation

Answer and Explanation

The Correct Answer is C

A.   Writing a detailed daily activity schedule may indicate organization and planning, which are not typically associated with acute mania.
B.   Isolating oneself from others could be a sign of depression rather than acute mania.
C.   Reporting a lack of sleep is characteristic of acute mania, as individuals in manic episodes often experience decreased need for sleep.
D.   Refusing to engage in conversation could be indicative of various factors, but it is not specific to acute mania.

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Correct Answer is A

Explanation

A. Documenting the client's behavior every 15 minutes is essential for monitoring the client's condition, response to seclusion, and any changes in behavior or status.
B. Obtaining the provider's prescription within 60 minutes may be necessary but does not address immediate nursing actions required after placing the client in seclusion.
C. Monitoring vital signs every 4 hours is not specific to managing a client in seclusion and may not provide timely information about the client's condition or response to seclusion.
D. Offering food and fluids every 2 hours is important for meeting the client's physiological needs but may not be appropriate immediately after placing the client in seclusion, depending on the circumstances and facility policies.

A. Allow the client to create their own meal schedule. B. Allow the client's family to bring the client food. C. Monitor the client's bathroom trips. D. Encourage the client to exercise frequently.

Correct Answer is C

Explanation

A. Allowing the client to create their own meal schedule may exacerbate disordered eating patterns and is not recommended in the treatment of bulimia nervosa.
B. Allowing the client's family to bring food may enable or reinforce disordered eating behaviors and is not recommended in the treatment of bulimia nervosa.
C. Monitoring the client's bathroom trips is important to prevent purging behaviors, such as self- induced vomiting, which are characteristic of bulimia nervosa.

D. Encouraging the client to exercise frequently may exacerbate unhealthy behaviors and is not recommended as a primary intervention for bulimia nervosa.

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A nurse is assessing a client who has bipolar disorder. Which of the following findings should the nurse identify as an indication that the client is experiencing acute mania?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse has placed a client who has become physically aggressive into seclusion. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is caring for a client who has bulimia nervosa. Which of the following interventions should the nurse include in the client's plan of care?

Correct Answer is C

Explanation

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