A client in a manic episode is having difficulty concentrating and frequently changes topics during conversation. Which nursing response is appropriate in this situation?

"You're not making any sense right now. Can you focus?”

"I'm here to listen. Let's try to stick to one topic at a time.”

"Please stop interrupting and let others speak as well.”

"I don't understand what you're trying to say.”

Answer and Explanation

The Correct Answer is B

Choice A rationale:

This response is not appropriate as it may come across as confrontational and dismissive of the client's current state. The client's difficulty in concentrating is a symptom of their manic episode, and using such phrasing might increase their agitation and escalate the situation.

Choice B rationale:

"I'm here to listen. Let's try to stick to one topic at a time." This response acknowledges the client's difficulty while providing support and a gentle redirection to stay focused on one topic. It maintains a therapeutic and non-confrontational approach, promoting effective communication with the client.

Choice C rationale:

While it's important to ensure fair participation in group conversations, this response may not address the immediate need of the client in a manic episode. It could potentially trigger further irritability or resistance from the client.

Choice D rationale:

This response may be interpreted as the nurse not making an effort to understand the client's thoughts, which could exacerbate the client's frustration and hinder therapeutic communication. It lacks empathy and a collaborative approach.

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Correct Answer is C

Explanation

Choice C rationale:

Responding with, "It sounds like you're feeling really hopeless right now," is an empathetic and therapeutic response. It reflects active listening and shows that the nurse acknowledges the client's feelings without making assumptions or offering false reassurance. This response validates the client's emotions and opens the door for further discussion, potentially leading to better understanding and support.

Choice A rationale:

Responding with, "Don't worry, things will get better soon," is dismissive and invalidating. It minimizes the client's feelings and offers premature reassurance without addressing the client's current emotional state.

Choice B rationale:

Responding with, "I know how you feel. I've been there too," shifts the focus from the client to the nurse. While sharing personal experiences can be helpful in certain contexts, it's important to prioritize the client's emotions and experiences first.

Choice D rationale:

Responding with, "You need to focus on the positive aspects of life," is directive and dismissive of the client's emotions. It implies that the client's feelings are invalid and suggests a solution without fully understanding the client's perspective.

A. Taking the medication only as needed. B. Taking the medication on an empty stomach. C. Reporting any side effects to the healthcare provider. D. Stopping the medication abruptly if side effects occur.

Correct Answer is C

Explanation

Choice C rationale:

The nurse should emphasize the importance of reporting any side effects to the healthcare provider when educating a patient with MDD who has been prescribed an atypical antidepressant. Side effects can vary from person to person, and prompt reporting allows the healthcare provider to monitor and manage any adverse reactions effectively.

Choice A Rationale:

Choice A (Taking the medication only as needed) is incorrect because atypical antidepressants, like other antidepressants, need to be taken consistently as prescribed. Taking them as needed may not provide the sustained therapeutic levels required to manage MDD effectively.

Choice B Rationale:

Choice B (Taking the medication on an empty stomach) is not a key aspect of medication adherence for atypical antidepressants. While some medications do require administration on an empty stomach, this is not a general guideline for all antidepressants.

Choice D Rationale:

Choice D (Stopping the medication abruptly if side effects occur) is incorrect. Abruptly stopping an antidepressant, including atypical ones, can lead to withdrawal symptoms and a sudden return of depressive symptoms. Discontinuation should be done under the guidance of a healthcare professional and usually involves tapering the dose.

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A client in a manic episode is having difficulty concentrating and frequently changes topics during conversation. Which nursing response is appropriate in this situation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with MDD tells the nurse, "I just can't see any way out of this. Life is hopeless." Which therapeutic response should the nurse provide?

Correct Answer is C

Explanation

A nurse is providing education to a patient with MDD who has been prescribed an atypical antidepressant. What should the nurse emphasize as a key aspect of medication adherence?

Correct Answer is C

Explanation

A client with bipolar disorder is displaying aggressive behavior and impulsivity. What aspect of the patient's behavior should the nurse observe and document during the assessment?

(Select all that apply): A nurse is providing care to a patient with MDD. Which of the following are components of nursing assessment for suicide risk in patients with MDD? (Select three).

A client with bipolar disorder is prescribed a medication to reduce psychotic symptoms during manic episodes. Which class of medications is commonly used for this purpose?

A nurse is assessing a client who is exhibiting symptoms of a manic episode. The client states, "I am the most important person in the world, and I have unique abilities that no one else possesses." What is the appropriate nursing response?

A nurse is educating a group of nursing students about psychotherapeutic interventions for bipolar disorder. Select all the psychotherapeutic interventions that are commonly used for managing bipolar disorder.

A client is diagnosed with bipolar disorder and is currently experiencing a hypomanic episode. Select all the symptoms that could be present during a hypomanic episode.

A client with bipolar disorder rates their mood as 9 on a scale of 1 to 10, where 1 is the lowest and 10 is the highest. What could the nurse say to the client in this situation?

A nurse is providing education to a group of nursing students about the signs and symptoms of manic episodes in bipolar disorder. Which of the following statements accurately describes a characteristic of a manic episode?