A nurse is caring for a client who is experiencing a manic episode. The nurse should identify that which of the following factors can prolong the client's mania?
Low lighting in the day room
Frequent rest periods throughout the day
Structured activities with the assistive personnel
A roommate who is also experiencing mania
The Correct Answer is D
A. Low lighting in the day room
Helps reduce stimulation and promote calmness.
B. Frequent rest periods throughout the day
Important for energy conservation and reducing hyperactivity.
C. Structured activities with the assistive personnel
Helps channel energy in a safe way and maintain boundaries.
D. A roommate who is also experiencing mania
Stimulation from another manic client can worsen or prolong manic behaviors.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A,B"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"A,B"},"F":{"answers":"A,B"},"G":{"answers":"A,B"}}
Explanation
Lanugo (fine hair) is a classic sign of anorexia due to malnutrition.
Disturbance in body image
Both disorders involve distorted body image, even if the behaviors differ.
Binge eating behavior
Binge eating is characteristic of bulimia, often followed by purging.
Very low weight
Significant underweight is typical in anorexia, while bulimic individuals are often of normal weight.
Peripheral edema
Can occur in both due to malnutrition or purging, especially from electrolyte imbalances or refeeding syndrome.
Self-induced vomiting
Vomiting is a hallmark behavior of bulimia, not typically anorexia unless it's binge-purge type.
Rigorous exercise regimen
Compensatory over-exercising can occur in both disorders as a way to control weight.
Correct Answer is D
Explanation
A. Warn the client about seclusion for hallucinations.
Hallucinations are part of the illness-this is inappropriate and non-therapeutic.
B. Keep security personnel constantly visible.
Can increase paranoia and agitation.
C. Agree that the hallucinations are real.
Reinforcing delusions/hallucinations is not therapeutic.
D. Collaborate with the client to develop a daily physical exercise routine.
Encourages routine and provides a safe outlet for aggression.
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