A nurse is planning care for a client who has bipolar disorder and is experiencing mania.
Which of the following interventions should the nurse include in the plan?
Place the client in seclusion when he exhibits signs of anxiety.
Encourage the client to spend time in the dayroom.
Encourage the client to take frequent rest periods.
Withdraw the client's TV privileges if he does not attend group therapy.
The Correct Answer is C
A. Incorrect. Placing the client in seclusion is not an appropriate intervention for managing mania.
B. Incorrect. Encouraging the client to spend time in the dayroom may exacerbate symptoms of mania by providing more stimulation.
C. Correct. Encouraging the client to take frequent rest periods helps prevent overactivity and exhaustion, common in manic episodes.
D. Incorrect. Withdrawing privileges are not directly related to managing manic symptoms and may not be therapeutic.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Correct. Participating in range-of-motion exercises helps prevent circulation problems and joint stiffness that can result from prolonged immobility after surgery.
B. Incorrect. While elevating the knees can help reduce strain on the lower back, this might not specifically promote circulation.
C. Incorrect. Prolonged bed rest can lead to decreased circulation and increased risk of complications such as deep vein thrombosis (DVT).
D. Incorrect. While using an incentive spirometer is important for preventing respiratory complications, it might not specifically address circulation issues.
Correct Answer is C
Explanation
Choice A rationale:
Overweight is not applicable in this situation as the client's BMI indicates a weight status below the normal range.
Choice B rationale:
Obesity class 1 is not applicable in this situation as the client's BMI indicates a weight status below the normal range.
Choice C rationale:
Underweight is the correct choice. A BMI of less than 18.5 is considered underweight according to the World Health Organization (WHO) classification. A BMI of 17.2 falls below this threshold, indicating that the client is underweight. This is a cause for concern, as individuals with Crohn's disease often struggle with maintaining a healthy weight due to malabsorption issues and reduced appetite.
Choice D rationale:
Healthy weight is not applicable in this situation as the client's BMI is below the normal range, indicating an underweight status.
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