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

Grandiose thinking

Hypersomnia

Blunted affect

Slurred speech

Answer and Explanation

The Correct Answer is A

Clients in the manic phase often exhibit inflated self-esteem, a sense of superiority, and grandiose thinking. They may have unrealistic beliefs about their abilities, accomplishments, or importance.

Hypersomnia, or excessive sleepiness, is not typically associated with the manic phase of bipolar disorder. Instead, individuals in the manic phase often experience a decreased need for sleep and may go for long periods with little or no sleep.

Blunted affect refers to a lack of emotional expression or reduced intensity of emotional responses. It is more commonly associated with depressive episodes of bipolar disorder rather than the manic phase.

Slurred speech is not a typical finding in the manic phase of bipolar disorder. However, individuals in the manic phase may exhibit rapid or pressured speech, talking excessively, rapidly switching topics, or having difficulty keeping up with their own thoughts.

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Correct Answer is C

Explanation

Maintaining a healthy lifestyle is crucial for managing mild hypertension. One of the key lifestyle changes recommended for individuals with hypertension is reducing salt (sodium) intake.

The American Heart Association recommends limiting sodium intake to no more than 2,300 milligrams (about 2 grams) per day. By expressing the goal to decrease salt intake to 2 grams per day, the client demonstrates an understanding of the teaching.

A. Apply rubber-soled slippers before ambulation. B. Move the bedside table with the client's personal items close to the bed. C. Determine the client's ability to use the call light. D. Create a schedule with an assistive personnel to do hourly rounding for the client.

Correct Answer is C

Explanation

Assessing the client's ability to use the call light is crucial for their safety and well-being. If the client is unable to use the call light to request assistance, it increases the risk of falls or accidents when they attempt to move or perform tasks without assistance. By determining the client's ability to use the call light, the nurse can ensure that appropriate measures are in place to enable the client to call for help whenever needed.

Applying rubber-soled slippers before ambulation helps to provide better traction and reduce the risk of slips and falls, but it can be implemented after assessing the client's ability to use the call light.

Moving the bedside table closer to the bed is helpful for the client to access personal items without the need to reach or stretch, but it is not the highest priority among the given options.

Creating a schedule with assistive personnel for hourly rounding is important for regular checks on the client's safety and well-being, but it can be arranged after assessing the client's ability to use the call light.

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

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