The nurse is planning the care for a client who is hospitalized with bipolar disorder. The client wanders the hallways, talks excessively, and makes sexual comments about the staff. Which intervention(s) should the nurse include in the plan of care? (Select all that apply.)

Invite for a walk when the client's energy is high.

Engage the client in competitive activities.

Assign the client to a single room.

Provide television programs with suspense to keep attention engaged.

Give concise and firm directions for hygiene and dressing.

Answer and Explanation

Correct Answer : A,C,E

A.   Inviting for a walk when the client's energy is high can help channel excess energy and reduce restlessness.
B.   Engaging the client in competitive activities might escalate the situation and isn't suitable for managing hyperactivity in bipolar disorder.
C.   Assigning the client to a single room can reduce external stimuli and potentially decrease overstimulation that might contribute to the behavior.
D.   Providing television programs with suspense might not effectively engage the client or address their needs.
E.   Giving concise and firm directions for hygiene and dressing can help provide structure and guidance during times of excessive energy or impulsivity.

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Correct Answer is B

Explanation

A. Compulsive, ritualistic behaviors might be seen in other psychiatric conditions but are not specifically characteristic of schizophrenia.
B. Responding with illogical answers to questions is a common symptom of schizophrenia, specifically disorganized thinking or speech.
C. Frequent thoughts of committing suicide might occur in various psychiatric conditions but are not specific to schizophrenia.
D. Describing times of depression followed by feelings of euphoria is more characteristic of bipolar disorder, not schizophrenia.

A. The client should be aware of the signs and symptoms of his illness. B. The client's serum lithium levels should be routinely evaluated. C. The client should plan to participate in group or individual therapy while at college. D. Despite the illness, the client should be able to live away from home. E. Despite the illness, the client should be able to live away from home.

Correct Answer is B

Explanation

A. Awareness of signs and symptoms is important, but routine evaluation of lithium levels is crucial for those taking lithium carbonate due to its narrow therapeutic range and potential toxicity.
B. Monitoring serum lithium levels is essential to ensure the medication remains within the therapeutic range and to prevent potential lithium toxicity.
C. Participating in therapy can be beneficial but might not be as critical as monitoring lithium levels for someone newly diagnosed with bipolar disorder.
D. While independence is important, the key concern here is the need for close monitoring of lithium levels due to the medication's potential side effects.

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The nurse is planning the care for a client who is hospitalized with bipolar disorder. The client wanders the hallways, talks excessively, and makes sexual comments about the staff. Which intervention(s) should the nurse include in the plan of care? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is performing the admission assessment for a client with schizophrenia in an acute care inpatient facility. The nurse should identify which observed behavior is characteristic of schizophrenia?

Correct Answer is B

Explanation

Correct Answer is B

Explanation

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