A nurse is caring for a hospitalized client who has bipolar disorder and is disturbing other clients with incessant talking. Which of the following actions should the nurse take?
Inform the client that restraints may be necessary if she cannot control her behavior.
Assist the client to practice social interaction with peers during a community meeting.
Escort the client to her room when she is observed trying to interact with other clients.
Allow the client to interact freely with others on the unit.
The Correct Answer is B
Choice A reason: Informing the client about the potential use of restraints could be perceived as threatening and may not be therapeutic.
Choice B reason: Assisting the client to practice social interaction in a structured setting like a community meeting can provide a safe environment for interaction and can be part of a therapeutic plan.
Choice C reason: Escorting the client to her room could be isolating and may not address the need for social interaction, which is important for clients with bipolar disorder.
Choice D reason: Allowing the client to interact freely might not be appropriate if the behavior is disturbing others. It's important to find a balance that respects both the client's needs and those of others.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Anger towards a deceased spouse can be a sign of unresolved grief and may indicate complicated grief or depression, requiring further intervention.
Choice B reason: Reestablishing relationships is a positive step in coping with loss and suggests progress in managing grief.
Choice C reason: Although it's difficult, the effort to engage with the community is a positive sign of coping and does not typically indicate a need for further intervention.
Choice D reason: A lack of desire to eat due to the absence of a loved one can be a normal part of grieving, but if persistent, it may require intervention to address potential depression.
Correct Answer is B
Explanation
Choice A reason: Discouraging the client from expressing anger is not therapeutic and can inhibit emotional expression, which is important in managing depression.
Choice B reason: Reinforcing assertive communication techniques is beneficial as it helps clients express themselves in a healthy way, which is a key aspect of depression management.
Choice C reason: Setting goals is important, but it should be done collaboratively with the client to empower them and ensure the goals are realistic and achievable.
Choice D reason: Scheduling daily self-care activities is helpful, but teaching the client how to manage their own schedule can promote independence and self-efficacy.
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