A nurse is planning care for a client who is in the manic phase of bipolar disorder. Which of the following goals should the nurse include?

Client sleeps 6 hr each night.

Client has a 0.9 kg (2 lb) weight loss from previous week.

Client has an increase in urine specific gravity

Client gives personal gifts to other clients.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

During the manic phase of bipolar disorder, sleep disturbances are common. Setting a goal for the client to achieve an appropriate amount of sleep can help stabilize their mood and reduce the intensity of manic symptoms.

Choice B rationale:

A weight loss goal might be more appropriate during the depressive phase, as manic episodes are often associated with increased energy and decreased appetite.

Choice C rationale:

Increased urine specific gravity is not a specific goal for managing the manic phase of bipolar disorder.

Choice D rationale:

Giving personal gifts to other clients might be a manifestation of the client's manic behavior and is not a goal to strive for.

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Correct Answer is B

Explanation

Choice A rationale:

Increased thirst is a common manifestation during the dying process due to dehydration and reduced fluid intake.

Choice B rationale:

Decreased secretions can occur as the body's systems gradually shut down during the dying process.

Choice C rationale:

Flushing of the extremities, also known as mottling, can occur due to poor circulation as the body's systems shut down.

Choice D rationale:

Periods of apnea or irregular breathing patterns can occur as the body's respiratory system becomes less effective during the dying process.

A. Determine if the client is experiencing suicidal ideation. B. Identify the client's social support. C. Instruct the client about coping skills. D. Explore the client's perception of the event.

Correct Answer is A

Explanation

Choice A rationale:

Assessing for the client's immediate safety is the first priority in crisis intervention.

Choice B rationale:

Identifying social support is important but not the primary action in this situation.

Choice C rationale:

Instructing the client about coping skills is important, but immediate safety takes precedence.

Choice D rationale:

Exploring the client's perception of the event is valuable, but assessing for suicidality is more urgent.

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A nurse is planning care for a client who is in the manic phase of bipolar disorder. Which of the following goals should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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