A nurse is caring for a client in a manic state of her Bipolar disorder. The client is dancing around the dayroom of the inpatient lounge. When she twirled her skirt it was obvious she was not wearing any underwear. The nurse enters the area and distracts her. She takes her to her room to put on underwear. Why did the nurse take this action?
To avoid her embarrassing herself in her manic state/behavior
Because there is no dancing allowed in the day room with other clients
To avoid her sexual passes at the clients
Because she was not following policy
The Correct Answer is A
A. The nurse’s primary concern is preventing the client from embarrassing herself due to the impulsive and disinhibited behaviors typical of a manic episode.
B. There is no indication that dancing is prohibited; the issue is with inappropriate behavior.
C. The focus of the action is not on sexual behavior but on ensuring the client is appropriately dressed in a social setting.
D. Following policy is important, but the nurse’s action is more about protecting the client from social
embarrassment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Assigning a private room may increase isolation, which is not conducive to a therapeutic environment.
B. Tucking bedcovers over the client’s hands and arms could be a restrictive action, not appropriate for
suicide prevention.
C. Removing utensils is not necessary unless the client has direct access to harmful objects.
D. Inspecting personal belongings ensures that the client does not have items that could be used for self-harm, which is a key suicide precaution.
Correct Answer is ["2.5"]
Explanation
To determine how many tablets to administer, divide the prescribed dose by the available dose per tablet:
25mg/10 mg/tablet = 2.5
Tablets 10mg/tablet 25mg =2.5tablets
Thus, the nurse should administer 2.5 tablets of buspirone.
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
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.