A client diagnosed with bipolar II disorder has a problem statement of impaired social
interactions related to egocentrism. Which short-term correctly written outcome is an appropriate expectation for this client problem?

The client will have an appropriate one-on-one interaction with a peer by day 4.

The client will exchange personal information with peers at lunchtime.

The client will verbalize the desire to interact with peers by day 2.

The client will initiate an appropriate social relationship with a peer.

Answer and Explanation

The Correct Answer is A

A.   This outcome is specific, measurable, and timebound. It addresses the client's impaired social interactions and sets a realistic expectation for improvement within a short timeframe.
B.   While this outcome is specific, it may not be achievable within a short timeframe and may not directly address the issue of egocentrism.
C.   This outcome focuses on verbalization but may not necessarily lead to actual interaction or address the issue of egocentrism.
D.   While this outcome is relevant, it is not as specific or timebound as option A.

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Correct Answer is A

Explanation

A. Labeling the bathroom door can provide a visual cue to help the older adult locate the bathroom, which may reduce episodes of incontinence.
B. Taking the older adult to the bathroom hourly is a good strategy, but it may not always be feasible or effective in preventing accidents.
C. Using disposable adult briefs may be necessary at times, but it should not be the first line intervention.
D. Limiting oral fluids to 1000 mL/day may lead to dehydration and is not an appropriate intervention for addressing incontinence.

A. "Why do you want to kill yourself?" B. "Do you have access to medications?" C. "Have you been taking drugs and alcohol?" D. "Did something happen with your parents?"

Correct Answer is B

Explanation

A) Incorrect. While understanding the reasons behind the suicidal thoughts is important, in this immediate situation, assessing access to means (medications) is crucial.

B) Correct. This question assesses the immediate risk by determining if the friend has access to the means (medications) to carry out the overdose.

C) Incorrect. While substance use is a risk factor, it may not directly address the immediate threat of overdose with pills.

D) Incorrect. While family issues can contribute to emotional distress, the most pressing concern is the immediate risk of overdose.

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A client diagnosed with bipolar II disorder has a problem statement of impaired social interactions related to egocentrism. Which short-term correctly written outcome is an appropriate expectation for this client problem?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An older adult in the middle 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?

Correct Answer is A

Explanation

An adolescent tells the school nurse, "My friend threatened to take an overdose of pills." The nurse talks to the friend who verbalized the suicide threat. What is the most critical question for the nurse to ask?

Correct Answer is B

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?

A client asks the nurse to give her information regarding the detoxification process of alprazolam. What is the best response by the nurse?

A client diagnosed with bipolar II disorder has a problem statement of impaired social interactions related to egocentrism. Which short-term correctly written outcome is an appropriate expectation for this client problem?

The nurse is building a discharge teaching plan with a client diagnosed with substance use disorder. Which of the following relapse prevention strategies will be included in the teaching? (Select all that apply)

A newly admitted client has a diagnosis of schizoaffective disorder. Based on this diagnosis, the nurse would expect to find which of the following symptoms?

What intervention is a priority when the client is experiencing auditory hallucinations?

A client is showing early signs of dementia. The client's spouse asks, "What may I expect next?" What is the nurse's best response?

A client diagnosed with bipolar II disorder has a problem statement of impaired social
interactions related to egocentrism. Which short-term correctly written outcome is an appropriate expectation for this client problem?