A client diagnosed with bipolar disorder is experiencing a severe depressive episode. Which client behavior would alert the nurse to the highest priority intervention? The client:

is not responding to other clients on the unit.

angrily argues with another client stating, "God is dead."

is refusing to take his prescribed mood stabilizer.

states, "There is no future when you feel so depressed."

Answer and Explanation

The Correct Answer is D

D. This behavior suggests the possibility of suicidal ideation, which is a medical emergency in mental health care. The nurse should assess the client for suicidal thoughts, intentions, and plans, and provide a safe environment to prevent self-harm. It's crucial to address this as a priority to ensure the safety and well- being of the client.
A. Withdrawing from social interactions can be a symptom of depression. However, it may not always be the highest priority intervention
B. This behavior suggests agitation and potential delusional thinking, which can be indicative of a severe depressive episode or a mixed state in bipolar disorder. This however, does not indicate the need for immediate intervention.
C. Non-adherence to prescribed medication, particularly mood stabilizers, can significantly impact the management of bipolar disorder and increase the risk of mood destabilization. However, addressing adherence is not the priority intervention.

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Correct Answer is ["A","B","C"]

Explanation

A. herbal products are not subject to the same rigorous standards of quality, purity, and consistency. Therefore, it is essential for individuals to purchase herbal products from reputable manufacturers that adhere to good manufacturing practices and quality control measures to ensure product safety and efficacy.
B. Herbal products can interact with prescription medications, over-the-counter drugs, or other supplements, leading to potential adverse effects or reduced efficacy of treatment.
C. Like pharmaceutical drugs, herbal therapies can have side effects, interactions, and contraindications. Some herbs may cause adverse reactions, allergic responses, or interactions with medications, leading to potentially serious consequences.
D. Many cultures have used herbs for centuries for various health benefits, and research continues to explore the potential therapeutic effects of herbal remedies.
E. It is important to note that not all herbs are inherently harmful. Many herbs used in traditional medicine systems and herbal therapies have a long history of safe use when used appropriately and in recommended doses.

A. Refrains from manipulative behaviors B. Redirection of violent behaviors C. Withdraws when frustrated D. Participation in play activities

Correct Answer is D

Explanation

D. Engaging in play activities can indicate that the child is focusing their energy positively and is able to engage with their environment in a constructive way. Play can also serve as a therapeutic tool that helps children with ADHD improve their attention, reduce hyperactive behavior, and learn social skills.
A. Manipulative behaviors may not be directly related to the core symptoms of ADHD, but they can be present in some children with ADHD as a way of coping with difficulties in attention and impulse control.
B. Redirection of violent behaviors involves guiding the child towards more appropriate and non-violent ways of expressing their emotions and frustrations. Monitoring for successful redirection of violent behaviors would indicate progress in improving impulse control and emotional regulation.
C. Withdrawal when frustrated is not a desired outcome for a child with ADHD. Instead, the goal is typically to help the child develop coping strategies to manage frustration constructively and remain engaged in activities.

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A client diagnosed with bipolar disorder is experiencing a severe depressive episode. Which client behavior would alert the nurse to the highest priority intervention? The client:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During a routine health examination, the client tells the nurse about using a variety of herbal therapies for health maintenance. When discussing the use of herbs, the nurse cautions the client that: (SELECT ALL THAT APPLY)

Correct Answer is ["A","B","C"]

Explanation

A 7-year-old with Attention Deficit-Hyperactivity Disorder (ADHD) evaluated at the mental health clinic is exhibiting hyperactivity and distractibility. The nurse should monitor for which desired outcome?

Correct Answer is D

Explanation

A client is admitted to a Chemical Addictions Unit to stop using alcohol and to learn about sobriety. The client asks the nurse what medication the doctor has prescribed for possible alcohol withdrawal. The nurse explains that the physician prescribed:

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