A client diagnosed with bipolar disorder is in a manic state, rushing about the unit, and talking regularly with a flight of ideas. What is the most therapeutic intervention?

Have the client go to his room until calm

Politely ask the client to stop talking

Speak slowly and in a quiet voice to help the client focus.

Encourage the client to talk more so you can determine what he is thinking

Answer and Explanation

The Correct Answer is C

A. "Have the client go to his room until calm" - This approach might not be effective and could potentially escalate the situation. In a manic state, individuals with bipolar disorder may not readily comply with such a request, and it may not address their immediate needs or provide therapeutic support.
B. "Politely ask the client to stop talking" - Directly asking the client to stop talking may not be well-received and could lead to increased agitation. It is important to maintain a therapeutic and empathetic approach.
C. "Speak slowly and in a quiet voice to help the client focus" - This is the most appropriate choice. Speaking in a calm and quiet manner can help reduce overstimulation and facilitate the client's ability to concentrate and engage in a more meaningful conversation. It can also help to de-escalate the situation and create a more therapeutic environment.
D. "Encourage the client to talk more so you can determine what he is thinking" - While communication is important, encouraging a manic client to talk more without providing any guidance or support may not be effective. Flight of ideas can make it challenging for the client to communicate coherently, and it's more appropriate to help the client focus and regulate their thoughts.

In summary, option C is the best choice as it aligns with a therapeutic, calming approach to manage a client in a manic state.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

A.This response is not appropriate because it does not address the client’s confusion or provide orientation. It may also increase the client’s agitation by suggesting an activity that is not relevant to their immediate concern.

B.This response is dismissive and does not acknowledge the client’s distress or confusion. It fails to provide orientation or reassurance, which are crucial in managing delirium.

C.While this response provides some information about safety, it does not orient the client to their current situation or address their immediate concern. It may also increase the client’s anxiety by focusing on the restriction rather than offering reassurance.

D.This is the most therapeutic response as it provides clear, factual information that helps orient the client to their current situation. It reassures the client by reminding them that they are in a safe place and under the care of a nurse, which can help reduce confusion and anxiety.

A. Increase your fluid and fiber intake to prevent constipation B. Have your blood pressure checked frequently for hypertension. C. Expect to have your blood checked weekly for serum electrolyte imbalances D. Increase caloric intake to prevent weight loss

Correct Answer is B

Explanation

A. "Increase your fluid and fiber intake to prevent constipation": This advice is not directly related to the use of risperidone. While constipation can be a side effect of some medications, it is not a common side effect of risperidone. It's important to provide information relevant to the specific medication and its potential side effects.
B. "Have your blood pressure checked frequently for hypertension": This is the correct statement. Risperidone is an atypical antipsychotic medication, and one of the potential side effects is orthostatic hypotension, which can affect blood pressure. Monitoring blood pressure is essential to detect and manage this potential side effect.
C. "Expect to have your blood checked weekly for serum electrolyte imbalances": This is not a standard monitoring requirement for risperidone. While some medications may require monitoring of serum electrolytes, it is not typically associated with risperidone.
D. "Increase caloric intake to prevent weight loss": Risperidone is associated with weight gain as a side effect, not weight loss. Therefore, advising the client to increase caloric intake to prevent weight loss is not appropriate. Weight management and dietary guidance should focus on preventing excessive weight gain.

In summary, option B is the correct statement to include in the teaching because monitoring blood pressure is important when taking risperidone due to the risk of orthostatic hypotension, which is a potential side effect of the medication.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A client diagnosed with bipolar disorder is in a manic state, rushing about the unit, and talking regularly with a flight of ideas. What is the most therapeutic intervention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

A nurse is providing teaching for a client who has schizophrenia and a new prescription for risperidone. Which of the following statements should the nurse include in the teaching?

Correct Answer is B

Explanation

A physician has prescribed an antidepressant medication for a 15-year-old client, Which statement would be appropriate for inclusion in medication teaching?

A client diagnosed with major depressive disorder with psychotic features hears voices commanding self-harm. The client refuses to commit to developing a plan for safety. What should be the nurse's priority intervention at this time?

What client population is at risk of developing tardive dyskinesia?

The nurse is caring for a client diagnosed with premenstrual dysphoric disorder. What is the primary manifestation of this disorder?

Benztropine is ordered as needed (PRN) for a client taking haloperidol after being diagnosed with schizoaffective disorder. Which of the following assessments by the nurse would indicate a need for this medication?

While conducting an admission interview with a client, the nurse suspects the client may be in alcohol withdrawal. Which screening tool can help the nurse identify the severity of withdrawal symptoms?

Which statement made by the nurse would be most appropriate to an elderly client who is confused has no history of dementia and is hospitalized for an acute urinary tract infection?

An older adult in the middles and late stages of Alzheimer's forgets where the bathroom is and has episodes of incontinence. Which intervention should the nurse suggest to the client's family?