A nurse is collecting data from a client who has bipolar disorder. Which of the following findings should the nurse expect?

Flight of ideas

Ritualistic behaviour

Well-groomed appearance

Command hallucinations

Answer and Explanation

The Correct Answer is A

A. Flight of ideas: Flight of ideas is a classic finding in clients experiencing a manic episode of bipolar disorder. It is characterized by rapid, continuous shifts from one topic to another, often making it difficult for the listener to follow the conversation. This reflects the elevated mood and pressured speech typical of mania.

B. Ritualistic behavior: Ritualistic behaviors, such as repetitive actions or strict routines, are more commonly associated with obsessive-compulsive disorder (OCD) rather than bipolar disorder. While clients with bipolar disorder may show disorganized behavior during mania, ritualism is not a hallmark feature.

C. Well-groomed appearance: During manic or depressive episodes of bipolar disorder, clients often experience a decline in self-care and grooming. A consistently well-groomed appearance would be more typical of a stable, euthymic phase rather than during an active mood episode.

D. Command hallucinations: Command hallucinations are typically linked to psychotic disorders such as schizophrenia. Although severe mania can include psychotic features, hallucinations are not a primary or consistent symptom in bipolar disorder unless it becomes a psychotic manic or depressive episode.

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Correct Answer is B

Explanation

A. A client who has a urinary tract infection: A urinary tract infection is generally straightforward to manage with antibiotics and does not usually require input from multiple disciplines unless complications arise.

B. A client who has a spinal cord injury: A spinal cord injury often involves complex care needs requiring input from several disciplines, including physical therapy, occupational therapy, nursing, social work, and nutrition services. Coordinated planning is essential to optimize recovery and long-term management.

C. A client who has acute appendicitis: Acute appendicitis typically requires prompt surgical intervention but does not usually require an interprofessional conference unless there are unusual complications or comorbidities.

D. A client who has a torn rotator cuff: A torn rotator cuff is typically managed with surgical repair or physical therapy. While it may involve multiple providers, it generally does not require a full interprofessional conference unless extensive rehabilitation needs are anticipated.

A. “I do not need to sign a consent form before this procedure." B. “I should limit my fluid intake for 2 days after the procedure.” C. “I will feel a warming sensation after the injection of the dye.” D. “I can have a meal up to 2 hours before the procedure.”

Correct Answer is C

Explanation

A. "I do not need to sign a consent form before this procedure.": A signed informed consent form is required before an intravenous pyelogram (IVP) because it involves the injection of contrast dye, which carries risks such as allergic reactions and kidney injury.

B. "I should limit my fluid intake for 2 days after the procedure.": Clients are encouraged to increase fluid intake after an IVP to help flush the contrast dye from their system and reduce the risk of kidney complications, not limit fluids.

C. "I will feel a warming sensation after the injection of the dye.": This statement shows understanding. It is common to feel a warm, flushing sensation or a metallic taste in the mouth shortly after the contrast dye is injected during an IVP. These effects are usually brief and harmless.

D. "I can have a meal up to 2 hours before the procedure.": Clients are typically instructed to be NPO (nothing by mouth) for a certain period, often after midnight, before the procedure to reduce the risk of aspiration and to ensure clear imaging. Eating close to the procedure time is not recommended.

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A nurse is collecting data from a client who has bipolar disorder. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is C

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