A nurse is caring for a client who has bipolar disorder.

Exhibits

Select words from the choices below to fill in each blank in the following sentence.

After assessing the client and reviewing the client's medical record, the nurse determines that the client could be experiencing which of the following?

The client could be experiencing

and

.

A. "Using nontraditional treatments is not a good idea. I'd rather you avoid that route."

This response is directive and dismissive of the client's choice. It does not promote open communication or respect for the client's autonomy and beliefs.

B. "Your provider is very knowledgeable. If he prescribes chemotherapy, it's the best treatment for you."

While healthcare providers have expertise, this response doesn't address the client's concerns or give them an opportunity to express their feelings. It may come across as authoritarian and not respecting the client's wishes.

C. "A lot of people think nontraditional treatments will work, and they find out too late that they made the wrong choice."

This response uses scare tactics and doesn't address the client's individual needs or concerns. It does not foster a trusting and respectful nurse-client relationship.

D. "Tell me more about your concerns about taking chemotherapy."

This is the most appropriate response. It demonstrates active listening, empathy, and a willingness to understand the client's perspective. By asking the client to share more about their concerns, the nurse can engage in a meaningful conversation and provide information and support based on the client's needs.

A. Discuss the problem in a community meeting with the other clients on the unit present.

While open communication and community meetings can be valuable in certain situations, discussing a client's disruptive behavior in front of others may breach their privacy and dignity. It's important to address such matters privately and respectfully.

B. Escort the client to her room each time the nurse observes the client socializing with other clients.

This action might be seen as overly punitive and restrictive. Isolating the client based on their behavior without addressing the underlying issues doesn't promote a therapeutic approach to the situation.

C. Talk to the client and identify the specific limits that are required of the client's behavior.

This is the correct option. Talking to the client directly allows the nurse to address the behavior, express expectations, and set clear boundaries. This approach promotes open communication and gives the client a chance to understand how their actions are affecting others.

D. Tell the other clients to ignore the client's lies.

While it's important to encourage other clients to manage their reactions to disruptive behavior, simply telling them to ignore lies might not address the root cause of the issue. The nurse should aim to address the behavior itself and create an environment where all clients feel respected and safe.