A charge nurse is admitting a client who has bipolar disorder and who is in the manic phase. Which of the following room assignments should the nurse give the client?
A private room across from the exercise room.
A semi-private room across from the snack area.
A semi-private room across from the day room.
A private room in a quiet location on the unit.
The Correct Answer is D
A. While exercise can be beneficial, a client in a manic phase may find it overstimulating, leading to increased agitation.
B. This option is not ideal as the client may be tempted to overeat or engage in impulsive behaviors related to food.
C. A day room is typically a high-traffic area with potential for noise and stimulation, which can exacerbate manic symptoms.
D. This is the best option for a client in the manic phase. A quiet environment can help reduce overstimulation, allowing for better management of symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","E"]
Explanation
A. Blood pressure is a measurable physiological parameter that can be accurately recorded by the nurse using a sphygmomanometer. It provides concrete evidence of the client’s current condition compared to their preoperative baseline.
B. The swelling and warmth of the calf are observable and measurable physical signs that the nurse can assess through physical examination. These findings can be documented and evaluated independently of the client's personal feelings or reports.
C. Nausea is a symptom experienced and reported by the client. It cannot be directly measured or observed by the nurse but rather is based on the client's personal sensations and experiences.
D. Pain is a personal experience and is reported by the client. The description of pain, including its intensity and quality, is based on the client's own perception and cannot be directly measured by the nurse.
E. Urine output is a quantifiable measurement that can be recorded and assessed by the nurse. It
provides concrete information about the client’s fluid balance and renal function over a specific period.
Correct Answer is D
Explanation
A. The "Plan" section of a SOAP note outlines the strategies for managing the patient’s condition, including further tests, treatments, and follow-up care. While vital signs can influence the plan of care, they are not documented in this section. Instead, the plan focuses on the next steps in treatment and interventions based on the assessment.
B. The "Assessment" section is where the nurse provides a professional judgment or diagnosis based on the subjective and objective data collected. Vital signs are not typically included in this section. Instead, the assessment would include the nurse’s interpretation of the data and overall evaluation of the patient's condition.
C. The "Subjective" section includes information that the patient reports about their own experience, symptoms, and concerns. Vital signs are objective measurements taken by the healthcare provider, so they do not belong in the subjective section. This section is focused on the patient's personal observations and feelings.
D. The "Objective" section is where measurable, observable data are documented. This includes vital signs such as blood pressure, heart rate, temperature, and respiratory rate, as these are concrete data points that can be objectively assessed and recorded by the healthcare provider.
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