Which nursing intervention will have the greatest impact on both the management of care and on milieu environment when considering the clients diagnosed with bipolar disorder?
Educating the client to the policies upon admission to the unit.
Instructing the client that intrusive behaviors are not appropriate.
Ensuring that the client's medication therapy is administered in a timely manner.
Setting and maintaining consistent unit policies that are enforced by all staff.
The Correct Answer is D
Choice A rationale:
While educating the client about policies upon admission to the unit is important, it may not have the greatest impact on both the management of care and on milieu environment.
Choice B rationale:
Instructing the client that intrusive behaviors are not appropriate is important, but it may not have the greatest impact on both the management of care and on milieu environment.
Choice C rationale:
Ensuring that the client’s medication therapy is administered in a timely manner is crucial, but it may not have the greatest impact on both the management of care and on milieu environment.
Choice D rationale:
Setting and maintaining consistent unit policies that are enforced by all staff can create a stable and predictable environment, which can have a significant impact on both the management of care and on milieu environment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Respiratory depression and a comatose state are not typically associated with agranulocytosis.
Choice B rationale:
Agranulocytosis, a potential side effect of clozapine, can cause symptoms like a sore throat and muscle aches due to the body’s decreased ability to fight off infections.
Choice C rationale:
Increased anxiety and suicidal ideations are not typically symptoms of agranulocytosis.
Choice D rationale:
Severe restlessness is not a common symptom of agranulocytosis.
Correct Answer is A
Explanation
Choice A rationale:
The client is displaying manifestations of lithium toxicity, which includes ataxia and blurred vision. Therefore, the nurse should withhold the medication.
Choice B rationale:
Administering the next dose as prescribed could potentially exacerbate the client’s symptoms and increase the risk of further toxicity.
Choice C rationale:
Propranolol is not typically used in the management of lithium toxicity.
Choice D rationale:
Levothyroxine is used to treat hypothyroidism and is not relevant in this context.
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