A client who has bipolar disorder is experiencing mania. Which of the following interventions should the nurse implement?

Encourage group therapy participation

Provide high-calorie finger foods

Allow the client to lead a unit meeting

Discourage any physical activity to prevent exhaustion

Answer and Explanation

The Correct Answer is B

A. Encourage group therapy participation: While group therapy can be beneficial, during a manic episode, clients may struggle to engage effectively due to their heightened energy levels and impulsivity. Individual interventions are typically more appropriate at this stage.
B. Provide high-calorie finger foods: During a manic episode, clients often have increased energy expenditure and may neglect their nutritional needs. Providing high-calorie finger foods ensures that the client receives adequate nutrition without requiring them to sit down for a formal meal, accommodating their high activity level and potential lack of focus.
C. Allow the client to lead a unit meeting: Allowing a client in a manic state to lead a meeting could exacerbate their manic behavior, leading to disruptions and further challenges in managing their condition. It is essential to maintain structure and limit opportunities for impulsive actions during this time.
D. Discourage any physical activity to prevent exhaustion: While it's important to monitor for signs of exhaustion, completely discouraging physical activity is not appropriate. Encouraging some level of physical activity can help channel the client's energy positively, but it should be carefully monitored to prevent overstimulation or fatigue.

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Correct Answer is B

Explanation

A. Single status: Being single may not be a protective factor against addiction. In fact, individuals who are single may experience loneliness or social isolation, which can sometimes increase the risk of substance use as a coping mechanism.
B. Positive self-image: A positive self-image is a significant protective factor against developing addictions. Individuals with a strong sense of self-worth and self-esteem are more likely to engage in healthy coping strategies and resist negative influences, making them less susceptible to addictive behaviors.
C. Passive personality: A passive personality may not serve as a protective factor; individuals with passive traits may struggle to assert themselves and set boundaries, potentially increasing vulnerability to peer pressure and substance use.
D. Being a parent: While being a parent can provide a sense of responsibility and purpose that may deter some individuals from engaging in risky behaviors, it is not universally considered a protective factor against addiction. The relationship between parenthood and addiction can vary significantly among individuals.

A. The nurse will lose their nursing license immediately. B. The nurse will need to transfer to a different unit. C. The nurse will be fired immediately. D. The nurse will be assisted into drug treatment.

Correct Answer is D

Explanation

A. The nurse will lose their nursing license immediately: While stealing and taking drugs from the narcotics cart is a serious offense, losing a nursing license typically involves a formal investigation process and a hearing before the board of nursing. Immediate revocation is unlikely without due process.
B. The nurse will need to transfer to a different unit: Transferring to a different unit does not address the underlying issue of substance abuse or theft. While this may occur in some cases, it is not a likely initial outcome given the severity of the allegations.
C. The nurse will be fired immediately: While termination may occur as a consequence of the behavior, it is not the immediate action taken in response to the report. The facility may conduct an investigation before deciding on termination.
D. The nurse will be assisted into drug treatment: It is common for healthcare facilities to offer assistance for substance use disorders, especially if the nurse expresses a willingness to seek help. The initial outcome often includes referrals to treatment programs as part of a broader approach to address the issue and ensure the nurse receives the necessary support.

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A client who has bipolar disorder is experiencing mania. Which of the following interventions should the nurse implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse should identify that which of the following factors is a protective factor that prevents adults from developing addictions?

Correct Answer is B

Explanation

A nurse has been confronted about stealing and taking drugs from the narcotics cart in the med room. The nurse has been reported to the board of nursing in their state. What is the likely initial outcome?

Correct Answer is D

Explanation

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